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Lower Urinary Tract Dysfunction Among Patients Undergoing Surgery for Deep Infiltrating Endometriosis: A Prospective Cohort Study.
J Clin Med
December 2024
Department of Obstetrics and Gynecology, Bern University Hospital, University of Bern, 3010 Bern, Switzerland.
: Postsurgical lower urinary tract dysfunction (LUTD) is a common problem following deep infiltrating endometriosis (DIE) resection. The condition may be caused either by surgically induced damage to the bladder innervation or by pre-existing endometriosis-associated nerve damage. The aim of this study is to evaluate the efficacy of preoperative and postoperative multichannel urodynamic testing (UD) in identifying pre-existing or surgically induced LUTD among patients with DIE.
View Article and Find Full Text PDFRefining MRI Protocols for Endometriosis: A Comparative Study of Abbreviated and Full MRI Sequences.
Br J Radiol
November 2024
Department of Radiology, School of Medicine, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.
Objectives: Endometriosis is a significant cause of chronic abdominal pain and infertility in females, often overlooked due to its resemblance to other abdominopelvic pathologies. This study aims to compare the diagnostic performance and agreement rate between an abbreviated MRI protocol (aMRI) and a full MRI protocol (fMRI) for detecting pelvic endometriosis.
Methods: We retrospectively analyzed 446 consecutive MRI exams, including both full (fMRI) and abbreviated (aMRI) protocols, performed for suspected pelvic endometriosis.
Novel Technique: Colonic Sleeve Resection in Endometriosis.
Dis Colon Rectum
November 2024
Department of Colorectal Surgery. Sydney Adventist Hospital, Wahroonga, NSW, Australia.
Robotic Assisted Lapendoscopic Single-Site Surgery for Ileal Deep Endometriosis. A Case Report and Review of Literature.
Surg Technol Int
November 2024
Division of Gynecologic Subspecialties, Department of Obstetrics and Gynecology, University of South Florida/Morsani College of Medicine, Tampa, Florida.
The prevalence of deep endometriosis invading the bowel is unknown but has been estimated to affect between 3.8% and 37% of women with endometriosis. The most common locations of bowel endometriosis are the sigmoid colon and rectum.
View Article and Find Full Text PDFRobot-Assisted Nerve-Sparing Eradication of Deep Endometriosis Using the da Vinci SP.
J Minim Invasive Gynecol
October 2024
Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama, Japan (all authors).
Article Synopsis
- - The text discusses the advantages of nerve-sparing surgery for deep endometriosis, emphasizing how it can minimize pelvic organ dysfunction post-surgery through improved anatomical knowledge and surgical techniques.
- - It highlights the use of the da Vinci SP robotic system, which has advanced tools that enhance precision in complex surgeries compared to traditional single-port laparoscopic methods, though its full potential is still being explored.
- - A case study is presented involving a 47-year-old woman with chronic pelvic pain, illustrating that the technique used in the surgery mimics conventional robotic procedures, benefiting from the SP system's superior visualization and instrument maneuverability.
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