Objective: To analyze the clinical presentation of perineal endometriosis and evaluate its treatment.
Methods: Clinical data were analyzed from the records of 36 patients with perineal endometriosis who were operated on between 1983 and 2007 at Peking Union Medical College Hospital, and followed up for 0.5 to 14 years.
Results: The incidence of perineal endometriosis was 0.31% among the women with endometriosis treated surgically at the hospital. The latent period was between 4 months and 13 years. All patients had cyclical and painful lesions. Of the 36 patients, 5 (13.9%) also suffered from pelvic endometriosis. All patients without anal sphincter involvement were cured after complete surgical excision. In 7 patients who had anal sphincter involvement, disease recurred because of incomplete excision.
Conclusion: Perineal endometriosis can be diagnosed on the basis of clinical features and surgical excision is the treatment of choice. The recurrence rate of perineal endometriosis is related to sphincter involvement making preoperative evaluation of anal sphincter important.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.ijgo.2009.01.022 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Design and methodology of the 'endometriosis and pelvic floor dysfunction' (EndoPFD) multicenter cross-sectional study.
Gynecol Endocrinol
December 2024
Division of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Objective: To assess the prevalence and the characteristics of pelvic floor dysfunction (PFD) in women with endometriosis.
Methods: This is a methodological paper that describes the 'Endometriosis and Pelvic Floor Dysfunction' (EndoPFD) multicenter study protocol. It involves three sites: the University Hospital of Pisa, the San Raffaele Hospital of Milan and the Vanvitelli University Hospital of Naples.
Perineal Scar Endometriosis Post Forceps Vaginal Delivery.
J Obstet Gynaecol India
October 2024
Department of Obstetrics and Gynaecology, Seth GS Medical College and KEM Hospital, Mumbai, India.
Article Synopsis
- - Scar endometriosis is becoming more common due to the rise in surgeries like cesarean sections, with episiotomy scars being an unusual but significant location for this condition.
- - The case report details a specific instance of endometriosis developing in an episiotomy scar, highlighting its uniqueness.
- - The discussion focuses on how to clinically identify, diagnose, and manage this rare form of endometriosis, providing insights for medical professionals.
Marfan syndrome is associated with increased risk for gynecologic disorders and maternal complications.
J Assist Reprod Genet
December 2024
Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA.
Purpose: To determine whether patients with Marfan syndrome are at an increased risk for reproductive disorders.
Methods: This retrospective cohort study was conducted using the US collaborative network on the TriNetX research network of health care organizations. We included female patients aged 18-44 and identified a cohort of 4347 patients with Marfan syndrome (ICD-10 Q87.
Primary Endometriosis of the Perineum: An Uncommon Site for a Common Disease.
J Minim Invasive Gynecol
January 2025
Department of Gynecology, The Second People's Hospital of Guiyang, Guiyang, China (all authors).. Electronic address:
Case report: Perineal swelling: A rare case of scar endometriosis.
Trop Doct
October 2024
Senior Resident, Department of obstetrics & Gynecology, AIIMS, Nagpur, India.
We report a rare case of episiotomy site scar endometriosis manifested as painful perineal swelling near the anus for 2 years affecting daily routine activity, especially during menses. A 33-year-old female, para 2 with both vaginal deliveries with last child birth 8 years back. A 2.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!