Perineal endometriosis in episiotomy scar with anal sphincter involvement

Kanellos, Ioannis; Kelpis, Timotheos G.; Zaraboukas, T.; Betsis, D.

doi:10.1007/s101510170009

Cited by 19 publications

(15 citation statements)

References 3 publications

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“…Kanellos et al [12] reported that good anal sphincter function was confirmed by anal manometry in the case they presented. In the two cases presented in this report, anal manometry was performed pre-and postoperatively, showing only a small drop in anal pressures 1 year after operation.…”

Section: Discussionmentioning

confidence: 96%

Perineal endometriosis in episiotomy scar with anal sphincter involvement: report of two cases and review of the literature

Barišić¹,

Krivokapić²,

Jovanovic³

2006

Int Urogynecol J

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Perineal endometriosis with anal sphincter involvement is a rare occurrence with only nine cases reported so far. Two such cases are presented, and the literature is reviewed. In presented cases, diagnosis was suspected at clinical exam. Anal manometry was performed in both cases and endoanal ultrasound in one case. Wide surgical excision of endometriotic mass together with part of external anal sphincter was carried out in both cases. The procedure was followed by anal sphincter reconstruction in an "overlapping" fashion in the first and "apposition" technique in the second case. Histopathologic tests confirmed endometriosis. The recovery was uneventful in both cases with excellent functional results. Two years after the operation, patients are asymptomatic and fully continent. According to the literature and our own experience, wide excision of endometrioma with primary sphincteroplasty seems to be the best chance of cure with satisfactory functional results and should be recommended.

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Section: Discussionmentioning

confidence: 96%

Perineal endometriosis in episiotomy scar with anal sphincter involvement: report of two cases and review of the literature

Barišić¹,

Krivokapić²,

Jovanovic³

2006

Int Urogynecol J

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“…He observed recurrence in patient treated with only surgery; however, none of the patients treated with surgical and medical combination had recurrence of disease. Kanellos et al [13] presented a patient with perineal endometriosis in an episiotomy scar with anal sphincter involvement. The procedure was followed by overlapping sphincter reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Perineal endometriosis: a case report and review of the literature

et al. 2010

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Endometriosis is the presence of endometrial-like tissue outside the uterine cavity, which most commonly affects peritoneal surfaces, ovaries and uterine ligaments. Even it is quite rare, endometriosis may affect the vulva, vagina, rectovaginal septum or perineal region, generally secondary to obstetric or surgical trauma. In this case report, we present a patient with perineal endometriosis in an episiotomy scar. Diagnostic tools used included transvaginal and endorectal ultrasonography (USG), magnetic resonance imaging (MRI) and biopsy. The endometriotic mass was wide-excised together with episiotomy scar. The recovery was uneventful with excellent functional and esthetic results. Six months after operation, woman is asymptomatic. According to the literature and our own experience, wide excision of endometriotic tissue seems to be the best chance of cure with satisfactory functional results and should be recommended.

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“…It enables the surgeon to plan an operative strategy and explain to the patient the possible complications of sphincteroplasty. 28 The goal is to excise the endometriosis completely, which may compromise the anal sphincter. This may necessitate primary sphincteroplasty to lessen the risk of fecal incontinence.…”

Section: Perineal Endometriosismentioning

confidence: 99%