STUDY OBJECTIVE: To evaluate the relationship between anatomic locations and diameter of endometriotic lesions with severity of perimenstrual dyschezia (pain with defecation) as a possible location-indicating pain symptom for posterior deep infiltrating endometriosis (DIE). DESIGN: Retrospective analysis (Canadian Task Force classification II-3). SETTING: Tertiary care university hospital. PATIENTS: We reviewed hospital records of patients who underwent laparoscopic treatment for pelvic endometriosis in our center between 2001 and 2006. In all, 360 patients with posterior DIE (endometrial glands and stroma infiltrated excised tissues of the specified organs) were included for whom preoperative scoring of perimenstrual dyschezia was performed using a 10-point visual analog scale (VAS). Data about anatomic location and diameter of excised nodules were retrieved from operative and pathological records. INTERVENTIONS: Laparoscopic excision of suspected endometriotic lesions. MEASUREMENTS AND MAIN RESULTS: Mean VAS score of dyschezia for patients with overall posterior DIE was 3.9 +/- 3.8, whereas in unaffected patients it was 1.9 +/- 3.3 (Mann-Whitney test p
Seracchioli R., Mabrouk M., Guerrini M., Manuzzi L., Savelli L., Frascà C., et al. (2008). Dyschezia and posterior deep infiltrating endometriosis: analysis of 360 cases. JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 15(6), 695-699 [10.1016/j.jmig.2008.07.005].
Dyschezia and posterior deep infiltrating endometriosis: analysis of 360 cases.
SERACCHIOLI, RENATO;GUERRINI, MANUELA;MANUZZI, LINDA;SAVELLI, LUCA;VENTUROLI, STEFANO
2008
Abstract
STUDY OBJECTIVE: To evaluate the relationship between anatomic locations and diameter of endometriotic lesions with severity of perimenstrual dyschezia (pain with defecation) as a possible location-indicating pain symptom for posterior deep infiltrating endometriosis (DIE). DESIGN: Retrospective analysis (Canadian Task Force classification II-3). SETTING: Tertiary care university hospital. PATIENTS: We reviewed hospital records of patients who underwent laparoscopic treatment for pelvic endometriosis in our center between 2001 and 2006. In all, 360 patients with posterior DIE (endometrial glands and stroma infiltrated excised tissues of the specified organs) were included for whom preoperative scoring of perimenstrual dyschezia was performed using a 10-point visual analog scale (VAS). Data about anatomic location and diameter of excised nodules were retrieved from operative and pathological records. INTERVENTIONS: Laparoscopic excision of suspected endometriotic lesions. MEASUREMENTS AND MAIN RESULTS: Mean VAS score of dyschezia for patients with overall posterior DIE was 3.9 +/- 3.8, whereas in unaffected patients it was 1.9 +/- 3.3 (Mann-Whitney test pI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
