Troubles fonctionnels après chirurgie de l’endométriose profonde

Cyril Huissoud, X. Deffieux, Pierre de Saint-Hilaire, R.-C. Rudigoz, Émile Daraï, Gil Dubernard
In: Pelvi-périnéologie · 2009 · vol. 4(4) , pp. 270–277 · doi:10.1007/s11608-009-0259-4 · W13752046
article OA: closed CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

Functional sequelae after deep endometriosis surgery, often underestimated, are linked to autonomic nerve damage and cause bladder, bowel, and vaginal dysfunction, with dysuria affecting up to 30% of patients.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This paper examines functional sequelae after surgery for deep pelvic endometriosis, focusing on pelvic autonomic nervous system lesions caused either by infiltration of endometriotic disease into nerves or by surgical trauma. It reports that these dysfunctions can involve bladder disturbances (dysuria), terminal constipation, and vaginal dryness/decreased sensitivity, with bladder dysfunction incidence often underestimated but reaching nearly 30% postoperatively. The authors emphasize that targeted postoperative assessment using validated questionnaires is important, and that additional urodynamic or rectal investigations are usually unnecessary; they also note the main caveat that functional assessment and incidence may be affected by under-recognition. This paper is centrally about endometriosis — it specifically addresses postoperative functional disorders after surgery for deep endometriosis and their presumed autonomic nerve mechanisms.

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