Symptoms and Surgical Technique of Bladder Endometriosis: A Systematic Review

Tomasi, Mariana C; Ribeiro, Paulo Ayroza; Farah, Daniela; Cervantes, Graziele; Nicola, Ana De; Ribeiro, Helizabet Salomão Abdalla Ayroza

doi:10.1016/j.jmig.2022.10.003

Cited by 7 publications

(4 citation statements)

References 34 publications

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“…The goal should be complete resection of the endometriosis nodule, which on the one hand facilitates significant improvements in pain and urinary symptoms and on the other minimizes the recurrence risk (20)(21)(22)(23)(24)(25). Certain techniques are suggested for surgical treatment: transurethral resection (TUR), partial resection, as well as shaving (12,26). However, there exist concerns about TUR.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Approach in Bladder Endometriosis, Intraoperative and Postoperative Outcomes

Piriyev

Schiermeier

Römer

2023

In Vivo

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Background/Aim: Endometriosis is a benign condition affecting 10-20% of women at reproductive age. The urinary tract is affected in 0.3-12.0% of women with endometriosis and in 19.0-53.0% of women with deep infiltrating endometriosis. The bladder is the most commonly affected organ in the urinary tract with a prevalence of up to 80%. Bladder endometriosis is defined as the occurrence of endometrial glands and stroma in the detrusor muscle. The aim of the study was to present the detailed technique and intraoperative and postoperative outcomes of laparoscopic resection of bladder endometriosis. Patients and Methods: This was a retrospective study analyzing all surgical procedures, carried out at the Academic Hospital Cologne Weyertal between January 2014 and December 2022. In total 23,862 surgical reports were analyzed, and only patients (n=33 patients) with bladder endometriosis were included in the study. Results: Follow-up was performed in 25 patients by phone contact. Twenty-three patients (92%) reported an improvement of symptoms, especially of dysuria, and an increase of quality of life. Only two patients (8%) reported no change in symptoms (dysmenorrhea and dyspareunia). Two patients (8%) reported bladder dysfunction. Mild postoperative pollakiuria was reported by two patients (8%). Four patients (with mild bladder dysfunction and pollakiuria) were satisfied with

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Section: Discussionmentioning

confidence: 99%

“…No difference in suture time, postoperative complication in terms of bleeding and bladder dysfunction, as well as improvement of symptoms were observed in our analysis. The above thread materials have been used/suggested by several authors (26,37). Follow-up revealed improvement of symptoms in 92% of cases.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Approach in Bladder Endometriosis, Intraoperative and Postoperative Outcomes

Piriyev

Schiermeier

Römer

2023

In Vivo

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“…Only then was it decided to perform a linear or segmental resection. A linear resection of a nodule was performed, as described [ 74 , 75 , 76 ], with a linear stapler (Endogia 30 mm, Covidien) without much dissection and thus without affecting the nerves lateral and posterior to the bowel. A segmental bowel resection required a complete mobilization of the bowel above and below the disease.…”

Section: Methodsmentioning

confidence: 99%

Segmental Rectum Resection for Deep Endometriosis and Excision Similarly Improve Sexual Function and Pain

Asencio,

Fins,

Mitie

et al. 2023

Clinics and Practice

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Segmental rectum resections for indications other than endometriosis were reported to result in up to 40% sexual dysfunctions. We, therefore, evaluated sexual function after low bowel resection (n = 33) for deep endometriosis in comparison with conservative excision (n = 23). Sexual function was evaluated with the FSFI-19 (Female Sexuality Functioning Index) and EHP 30 (Endometriosis Health Profile). The pain was evaluated with visual analogue scales. Linear excision and bowel resections improved FSFI, EHP 30, and postoperative pain comparably. By univariate analysis, a decreased sexual function was strongly associated with pain both before (p < 0.0001) and after surgery (p = 0.0012), age (p = 0.05), and duration of surgery (p = 0.023). By multivariate analysis (proc logistic), the FSFI after surgery was predicted only by FSFI before or EHP after surgery. No differences were found between low bowel segmental resection and a more conservative excision. In conclusion, improving pain after surgery can explain the improvement in sexual function. A deleterious effect of a bowel resection on sexual function was not observed for endometriosis. Sexual function in women with endometriosis can be evaluated using a simplified questionnaire such as FSFI-6.

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“…Endometriosis is defined as the presence of endometrial cells in an abnormal or ectopic site outside the uterine cavity [1]. Common symptoms of endometriosis include painful menstruation and ovulation, severe pelvic cramps, heavy bleeding, pain during sex, urination and intestinal pain, bleeding, and pain between periods [2,3]. Endometri-osis affects about 10-15% of women of childbearing age, 20-50% of women with infertility, and 71-87% of women with chronic pelvic pain [4].…”

Section: Introductionmentioning

confidence: 99%

Analysis of lcnRNA Homebox Transcript antisense RNA (HOTAIR) expression in Polish Women with Endometriosis

Szaflik,

Romanowicz,

Trzmielak

et al. 2023

Arch Med Sci

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IntroductionLong non-coding RNAs (lncRNAs) are implicated in endometriosis development. The aim of the study was to analyse the expression of lncRNA HOTAIR in the context of the risk of developing endometriosis.Material and methodsThe presented study determined lncRNA HOTAIR expression in patients with endometriosis (n=100) compared with a healthy control group (n=100). Histological examination was performed by pathologists using a digital slide scanner and slide viewer software (Case Viewer 2.3, 3D Histech, Budapest, Hungary). The gene expression was measured by the reverse-transcription polymerase chain reaction (RT-PCR) technique. Two-step qRT-PCR was used to analyze the expression of HOTAIR gene in normal tissue and endometriosis samples. The total RNA was used for cDNA synthesis. Ct values were used for subsequent analysis and GADPH was used as the endogenous control.ResultsStatistically significantly higher HOTAIR expression was found in endometriosis samples compared to expression in the control material (p<0,0001). With regard to the classification of endometriosis (stage I-IV), there was a statistically significant increase HOTAIR expression in stage IV (p <0,05). There was no relationship between the age of the patients, the number of deliveries, the number of spontaneous abortions and BMI and the expression of HOTAIRConclusionsThe reported studies suggest a significant role of lncRNA HOTAIR expression in the pathogenesis of endometriosis.

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Symptoms and Surgical Technique of Bladder Endometriosis: A Systematic Review

Cited by 7 publications

References 34 publications

Laparoscopic Approach in Bladder Endometriosis, Intraoperative and Postoperative Outcomes

Laparoscopic Approach in Bladder Endometriosis, Intraoperative and Postoperative Outcomes

Segmental Rectum Resection for Deep Endometriosis and Excision Similarly Improve Sexual Function and Pain

Analysis of lcnRNA Homebox Transcript antisense RNA (HOTAIR) expression in Polish Women with Endometriosis

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