Prevalence and outcome of urinary retention after laparoscopic surgery for severe endometriosis—does histology provide answers?

Abstract

In older endometriosis patients, surgical radicality should be balanced against preservation of organ function. There is a fairly good chance to recover, even after 6 months, which is important for patient counseling.

Persistent urinary retention after surgery for deep infiltrating endometriosis: a multi-center series of 16 cases

“…Using the same criteria, 21 patients in Daraï et al study needed ISC during a mean period of 6.1 months [8]. Urinary function may improve after this delay, but age seems to be a risk factor for persistent retention [16]. In our study, 18.8 % of patients had at least one urinary functional sign reported in their medical history before intervention.…”

Deep endometriosis: definition, diagnosis, and treatment

“…Deep endometriosis surgery is associated with urinary retention and/or bladder dysfunction (45)(46)(47). The incidence is higher when nodules are bigger, extending laterally deep into the pararectal space.…”

Neuromodulation for the Treatment of Endometriosis-Related Symptoms

“…In gynecology, sacral and pudendal neuromodulation have been advocated for the treatment of refractory pelvic pain, urinary urgency and retention, as well as fecal incontinence or constipation, all of which are commonly related to endometriosis and/or its surgical treatment (2, 3).…”