Troubles fonctionnels urinaires liés à l’endométriose profonde et à son traitement : revue de la littérature

Campin, L.; Borghese, Bruno; Marcellin, Louis; Santulli, Piétro; Bourret, Antoine; Chapron, Charles

doi:10.1016/j.jgyn.2014.03.003

Cited by 18 publications

(10 citation statements)

References 59 publications

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“…Posterior involvement accounts for 90% of cases of deep endometriosis. The uterosacral ligament is the most frequent localization of deep infiltrating endometriosis (52.7%) [ 1 , 2 ]. Anterior deep endometriosis is markedly less frequent than posterior involvement and essentially affects the vesicouterine pouch and bladder.…”

Section: Discussionmentioning

confidence: 99%

Endometriosis of the vesico-vaginal septum: a rare and unusual localization (case report)

2020

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Background: We report a rare and unusual case of endometriosis in the vesico-vaginal septum. The location of this disease at this site is so uncommon that the literature about is very rare. Case presentation: A 41-year-old female was presented with urinary symptoms. There was history of caesarean section. Physical examination revealed an anterior vaginal wall mass. Pelvic MRI showed an inter vesico-vaginal mass, suggesting a leiomyoma. Surgical excision was performed by the vaginal route. There were no postoperative complications. Histopathology examination showed focal endometriosis. Conclusion: Endometriosis of the anterior compartment remains relatively rare; its localization to the vesico-vaginal septum (VVS) is very rare. With the occurrence of nonspecific cyclic urinary signs in women during periods of genital activity, endometriosis should be mentioned, especially in the presence of an antecedent of pelvic surgery.

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Section: Discussionmentioning

confidence: 99%

Endometriosis of the vesico-vaginal septum: a rare and unusual localization (case report)

2020

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“…Cystometric evaluation may show a hyper or hypo compliant bladder (hypo or hypersensitive bladder, flat curve, the first voiding-need may be delayed or absent), a detrusor hypocontractility with an increase in voiding duration, and/or a post-voiding residual. Urethral profilometry may be normal; however, a decreased urethral closure pressure is possible (in case of pudendal or vegetative nerve lesion) ( 18 ).…”

Section: Urodynamic Evaluationmentioning

confidence: 99%

“…Neuromodulation of the superior hypogastric plexus (inhibiting internal sphincter contraction and strengthening detrusor contraction) for treatment of refractory atonic bladder seems promising but should be confirmed by further studies. In terms of prevention, surgical nerve sparing techniques have been developed in order to minimize intraoperative injury of pelvic nerve plexus and reduce postoperative morbidity ( 18 ).…”

Section: Managementmentioning

confidence: 99%

Endometriosis and Vesico-Sphincteral Disorders

Fadhlaoui

Gillon

Lebbi³

et al. 2015

Front. Surg.

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ObjectivesThe aim of this mini review is to determine the relationship between endometriosis and urinary tract symptoms and to investigate the consequences of surgical treatment of mild to severe endometriosis, especially deep lesions, on the vesico-sphincteral function (lower urinary tract function).Materials and methodsWe performed a literature review by searching the MEDLINE database for articles published between 2000 and 2014, limiting the searches to the words: urinary tract, vesico-sphincteral, dysfunction, endometriosis, symptoms, and surgery.ResultsThe incidence of vesico-sphincteral symptoms in endometriosis varies from 3.4 up to 15.4%. The frequency of such symptoms seems to be under estimated because of a lack of specific questionnaire including urinary symptoms. Urodynamic evaluation could help to detect unsuspected abnormalities. It seems that endometriosis surgery (particularly deep infiltrating lesions) is a purveyor of de novo urinary dysfunction, with an incidence varying from 6.8 up to 17.5%. Nerve sparing processes such as neuro-navigators or neuro-stimulators seem to be promising techniques to avoid postoperative urinary tract dysfunction.ConclusionA precise anamnesis and the use of specific validated questionnaires (IPSS and BFLUTS) improve the screening of vesico-sphincteral symptoms in case of endometriosis. No recommendation can be found in the literature about the place of urodynamic evaluation. Most publications lack of proof and therefore do not allow making recommendations about optimal treatment of endometriotic lesions to avoid urinary tract disorders.

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“…Following surgery for DIE, > 20% of patients experience voiding symptoms (dysuria, hesitancy, incomplete bladder emptying sensation), mainly related to urinary retention and dysfunctional voiding. These voiding symptoms/dysfunctions (VS/Ds) may represent a de novo disorder related to surgical damage of the pelvic plexus or worsening of pre-existent functional damage [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…Urinary symptoms (such as dysuria and painful voiding, hesitancy, intermittent flow, increase in daytime frequency, urgency and urge incontinence, alterations of bladder sensitivity, gross haematuria) are present—depending on the methods and questionnaires used to highlight these conditions—in 5–20% of patients suffering from endometriosis, before any kind of surgery, but are often masked by the prevalence of gynaecological and gastrointestinal disorders, particularly in the deep-infiltrating forms [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Sacral neuromodulation to treat voiding dysfunction in patients with previous pelvic surgery for deep infiltrating endometriosis: our centre's experience

2020

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Introduction and hypothesis Voiding symptoms/dysfunctions (VS/Ds) after surgery for deep-infiltrating endometriosis (DIE) are frequent (20% of patients) and, together with bowel dysfunctions, may represent a de novo disorder due to surgical damage of the pelvic plexus or a worsening of pre-existent functional damage. Sacral neuromodulation (SNM) might improve voiding symptoms by treating dysfunctional voiding. The aim of this study is to report our experience with SNM in patients treated with surgery for DIE. Methods We retrospectively enrolled 13 patients with VS/Ds after surgery for DIE. All patients were investigated with urodynamic studies (UDS) and agreed to undergo SNM. Pre-existing VS/Ds, bowel disorders and pelvic pain, DIE surgical procedures, UDS and SNM test results were recorded. Results After surgery for DIE, functional bladder outflow obstruction and detrusor acontractility were observed in nine and four patients, respectively. Chronic pelvic pain was present in seven cases. Twelve patients developed constipation, whilst one patient had de novo faecal incontinence. After the SNM testing period, nine patients (69.2%) experienced a significant improvement of symptoms that led to definitive implant. Four patients (30.8%) had no symptom relief and the system was removed. Conclusions Functional bladder outflow obstruction and urinary retention are the most common VS/Ds after surgery for DIE. SNM may be an effective option for these patients, probably due to its action in improving the dysfunctional voiding, which was likely to be already present as part of the "endometriotic syndrome" and got worse after pelvic surgery. Results for pelvic pain control and gastrointestinal disorders should not be underestimated.

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Troubles fonctionnels urinaires liés à l’endométriose profonde et à son traitement : revue de la littérature

Cited by 18 publications

References 59 publications

Endometriosis of the vesico-vaginal septum: a rare and unusual localization (case report)

Endometriosis of the vesico-vaginal septum: a rare and unusual localization (case report)

Endometriosis and Vesico-Sphincteral Disorders

Sacral neuromodulation to treat voiding dysfunction in patients with previous pelvic surgery for deep infiltrating endometriosis: our centre's experience

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