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Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis.


ABSTRACT: Introduction:Large resections may be necessary in cytoreductive surgery for endometriosis, which present risk of urinary and bowel complications. Presentation of Case. A 29-year-old woman underwent multidisciplinary laparoscopy for endometriosis in a private practice setting for acyclic pelvic pain and cyclic abdominal distension with changes in bowel habits and frequent sensation of incomplete defecation. After surgery, urodynamics remained normal and bowel function improved subjectively and objectively per dynamic magnetic resonance defecography (DMRD). The five-month follow-up found improvements in pain scores, bowel function, and health-related quality of life (assessed by the full versions of the Short Form 36 and Endometriosis Health Profile 30 scales). Discussion. Animus may contribute to the bowel symptoms in women with endometriosis. DMRD provides additional objective parameters for comparing pre- and postoperative functions. Conclusion:A nerve-sparing segmental rectosigmoidectomy for endometriosis carefully executed by a multidisciplinary team can preserve the function of different pelvic organs.

SUBMITTER: Crispi CP 

PROVIDER: S-EPMC7475743 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis.

Crispi Claudio Peixoto CP   Crispi Claudio Peixoto CP   Brandão Salomão Alice Cristina Coelho ACC   Joaquim Claudia Maria Vale CMV   de Oliveira Bruna Rafaela Santos BRS   Fonseca Marlon de Freitas MF  

Case reports in obstetrics and gynecology 20200828


<h4>Introduction</h4>Large resections may be necessary in cytoreductive surgery for endometriosis, which present risk of urinary and bowel complications. <i>Presentation of Case</i>. A 29-year-old woman underwent multidisciplinary laparoscopy for endometriosis in a private practice setting for acyclic pelvic pain and cyclic abdominal distension with changes in bowel habits and frequent sensation of incomplete defecation. After surgery, urodynamics remained normal and bowel function improved subj  ...[more]

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