Long-term follow-up after conservative surgery for rectovaginal endometriosis

Fedele, Luigi; Bianchi, Stefano; Zanconato, Giovanni; Bettoni, Gaia; Gotsch, Francesca

doi:10.1016/j.ajog.2003.10.698

Cited by 205 publications

(151 citation statements)

References 9 publications

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“…There were also five nonsystematic revisions published [3,28,[32][33][34]. In some of the studies, a radical treatment was assessed [5,13,15,[25][26][27][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56], while others assessed a conservative one [57][58][59][60][61][62][63]. There were six nonrandomized papers in which groups of patients with different therapeutic options were compared [30,[35][36][37][38][39].…”

Section: Resultsmentioning

confidence: 99%

Surgical treatment of rectovaginal endometriosis with rectal involvement

et al. 2011

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Rectovaginal endometriosis (RVE) is one of the most serious and incapacitating forms of presentation of this disease. Traditionally, medical treatment has not been considered effective for the majority of patients, being surgery the only reasonable and therapeutic choice in these cases. This exposes patients to a potentially serious morbidity, thus a careful evaluation should be done by a surgical board considering the impact of the disease as well as the quality of life of the patients. The main surgical techniques used are the shaving of the rectal wall affected by the endometriosic implants, the discoid excision of the front rectal wall, and the segmental intestinal resection, and there is no consensus concerning which is the most effective and suitable between them. The bibliography published in the last 10 years relating to the surgical treatment of RVE is being reviewed with the intention of updating the knowledge base about the topic and looking for common ground between different studies, allowing us to come closer to reaching a consensus about treatment for this pathology.

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Section: Resultsmentioning

confidence: 99%

Surgical treatment of rectovaginal endometriosis with rectal involvement

et al. 2011

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“…16,26 Even with experienced laparoscopic surgeons, the cumulative rate of recurrence after five years is nearly 20%. 17 Another study reported recurrence of dysmenorrhea in almost a third of women within one year of laparoscopic surgery in women who received no other treatment.…”

Section: How Often Does Endometriosis Recur After Surgery?mentioning

confidence: 99%

“…17 Another study reported recurrence of dysmenorrhea in almost a third of women within one year of laparoscopic surgery in women who received no other treatment. 16 …”

Section: How Often Does Endometriosis Recur After Surgery?mentioning

confidence: 99%

“…Although reported long-term outcomes are encouraging with advanced laparoscopic techniques, there are few prospective studies and no randomised controlled trials. 16,17 One small study of the levonorgestrel intrauterine system in women with rectovaginal endometriosis found improved dysmenorrhea, pelvic pain, and dyspareunia after one year.…”

Section: What Is the Evidence For Surgery In Women With Endometriomata?mentioning

confidence: 99%

“…16 Some women will require further investigation to guide management. For adolescents who present with dysmenorrhea, the recommended approach is to first prescribe non-steroidal anti-inflammatory drugs (NSAIDs) and oral contraceptives.…”

Section: What Are the Indications For Laparoscopy?mentioning

confidence: 99%

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