Quality of Life after Segmental Resection of the Rectosigmoid by Laparoscopy in Patients with Deep Infiltrating Endometriosis with Bowel Involvement

Bassi, Marco; Podgaec, Sérgio; Dias, João; Filho, Nicolau D’Amico; Petta, Carlos Alberto; Abrão, Maurício Simões

doi:10.1016/j.jmig.2011.07.014

Cited by 80 publications

(69 citation statements)

References 21 publications

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“…Despite the fact that radical laparoscopic excision of DIE is a controversial matter, our results show that dyspareunia during/after intercourse decreased significantly not only in patients with peritoneal, but also with deep endometriotic lesions and in those with an additional vaginal resection. The results also stand in line with previous studies, evaluating the surgical effect on dyspareunia in cases of endometriosis [21][22][23][24][25][26].…”

Section: Discussionsupporting

confidence: 91%

When sex is not on fire: a prospective multicentre study evaluating the short-term effects of radical resection of endometriosis on quality of sex life and dyspareunia

Fritzer

Tammaa

Haas³

et al. 2016

European Journal of Obstetrics & Gynecology and Reproductiv

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Section: Discussionsupporting

confidence: 91%

When sex is not on fire: a prospective multicentre study evaluating the short-term effects of radical resection of endometriosis on quality of sex life and dyspareunia

Fritzer

Tammaa

Haas³

et al. 2016

European Journal of Obstetrics & Gynecology and Reproductiv

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“…Nine studies assessed the contribution of surgery to reduce pain levels in patients with endometriosis [7][8][9]11,14,16,21,25,29 and one assessed the combination of surgical and drug treatments (combined oral contraceptives -COC). 30 The individual values and frequency for each type of pain before and after the surgical procedure are presented in Tables 1 and 2.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of endometriosis-associated pain and influence of conventional treatment: a systematic review

Marqui

2015

Rev. Assoc. Med. Bras.

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Financial support: none Conflict of interest: noneEndometriosis is a chronic gynecological disease characterized by sustained painful symptoms that are responsible for a decline in the quality of life of sufferers. Conventional treatment includes surgical and pharmacological therapy aiming at reducing painful symptoms. This study aimed to evaluate pain levels in women with endometriosis, focusing on the influence of conventional treatment in controlling this variable. To do so, a literature search was conducted in the Medline/Pubmed databases, with 119 scientific articles found. After applying the inclusion and exclusion criteria, 27 were selected for reading and elaboration of this review. Thus, 9 studies evaluated the contribution of surgery, 17 the use of drugs to reduce pain levels in patients with endometriosis and one assessed surgical and medical treatment. The main results of these searches are presented and discussed in this revision. Surgery and the use of drugs provided reduced pain scores in patients with endometriosis but nevertheless exhibit disadvantages, such as risk of recurrence and side effects, respectively. Treatment of endometriosis is, therefore, a challenge for gynecologists and patients, as they must select the best therapeutic approach for this disease.However, improved quality of life in these patients has been obtained with the use of conventional treatment.

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“…Boljšo kakovost življenja je v naši raziskavi navedlo 28,9 % bolnic, bistveno boljšo pa 55,3 %. Podobne rezultate navajajo tudi številni drugi avtorji (12,36,37,38).…”

Section: Razpravljanjeunclassified

Kakovost življenja pred in po laparoskopski resekciji črevesa zaradi globoke infiltrativne endometrioze

2017

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Background: Te purpose of the study was to determine the quality of life in patients with bowel endometriosis before and afer laparoscopic bowel resection.Material and methods: In the retrospective study we included 91 patients who underwent laparoscopic resection of the bowel aﬀected by endometriosis at the Unit for Reproduction and the Unit for Gynecology, Department of Obstetrics and Gynecology Ljubljana, in the period from 2002 to 2011. Te study was retrospective. Te patients were sent a questionnaire regarding the symptoms before surgery and the eﬀect of surgery on bowel symptoms, painful menstruation, painful sexual intercourse, chronic pelvic pain and quality of life before and afer surgery; 76 (83.5 %) patients replied to the questionnaire.Results: Before surgery, 72 (94.7 %) patients reported painful menstruation. Improvement or complete relief afer surgery was registered in 57 (79.1 %). Out of 60 (78.9 %) patients who had painful sexual intercourse before surgery, 49 (81.7 %) reported improvement or complete relief afer surgery. Bowel symptoms, present in 52 (68.4 %) patients before surgery, improved or completely disappeared in 48 (92.4 %) afer surgery. Chronic pelvic pain, present in 53 (69.7 %) before surgery, decreased or did not exist any more in 45 patients (86.5 %). Te quality of life before surgery was very poor in 32 patients (42.1 %), and poor in 21 patients (27.8 %). Afer the operation, the quality of life was reported as improved in 22 (28.9 %) and signifcantly improved in 42 (55.3 %).Conclusions: Laparoscopic bowel resection, indicated in extensive symptomatic endometriosis, signifcantly improves the patients’ quality of life.

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Quality of Life after Segmental Resection of the Rectosigmoid by Laparoscopy in Patients with Deep Infiltrating Endometriosis with Bowel Involvement

Cited by 80 publications

References 21 publications

When sex is not on fire: a prospective multicentre study evaluating the short-term effects of radical resection of endometriosis on quality of sex life and dyspareunia

When sex is not on fire: a prospective multicentre study evaluating the short-term effects of radical resection of endometriosis on quality of sex life and dyspareunia

Evaluation of endometriosis-associated pain and influence of conventional treatment: a systematic review

Kakovost življenja pred in po laparoskopski resekciji črevesa zaradi globoke infiltrativne endometrioze

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