We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Pelvic organ function before and after laparoscopic bowel resection for rectosigmoid endometriosis: a prospective, observational study.
- Authors
Riiskjær, M; Greisen, S; Glavind‐Kristensen, M; Kesmodel, US; Forman, A; Seyer‐Hansen, M; Riiskjaer, M; Glavind-Kristensen, M; Kesmodel, U S; Seyer-Hansen, M
- Abstract
<bold>Objective: </bold>To assess urinary, sexual, and bowel function before and after laparoscopic bowel resection for rectosigmoid endometriosis.<bold>Design: </bold>Prospectively collected data regarding the function of the pelvic organs.<bold>Setting: </bold>Tertiary endometriosis referral unit, Aarhus University Hospital.<bold>Sample: </bold>A cohort of 128 patients who underwent laparoscopic bowel resection for endometriosis.<bold>Methods: </bold>The International Consultation on Incontinence Questionnaire (ICIQ), Sexual Function-Vaginal Changes Questionnaire (SVQ), and the Low Anterior Resection Syndrome (LARS) questionnaire were answered before and after surgery. Non-invasive urodynamic testing was performed.<bold>Main Outcome Measures: </bold>Pre- and postoperative function of the pelvic organs was compared, and risk factors for improved/impaired function were identified.<bold>Results: </bold>A total of 96.1% of the women completed the 1-year follow-up. A significant decrease (P = 0.002) in bladder filling problems (F-score) was observed 1 year after surgery, primarily caused by a significant decrease in bladder pain (P = 0.0001). No change for urodynamic parameters was observed. A significant increase in overall sexual satisfaction (P = 0.0001) and decrease in worries about sexual life (P = 0.001) was seen 1 year after surgery. Frequency of defecation was significantly increased 1 year after surgery (P = 0.0001), but the overall bowel function measured by LARS score was unchanged. Patients with anastomotic leakage had a significantly higher risk (odds ratio, OR 5.40; P = 0.002) of increased incontinence problems (I-score) 1 year after surgery.<bold>Conclusion: </bold>A significant and clinically relevant improvement in urinary and sexual function 1 year after laparoscopic bowel resection for endometriosis was found. Except for anastomotic leakage, this could be observed independent of any patient- or treatment-related factor. Apprehension about impairment of urinary and sexual function should not be a contraindication for bowel resection in endometriosis patients.<bold>Tweetable Abstract: </bold>Rectal resection for endometriosis does not impair urinary and sexual function 1 year after surgery.
- Subjects
TREATMENT of endometriosis; LAPAROSCOPIC surgery; PELVIC physiology; URODYNAMICS; SURGICAL anastomosis
- Publication
BJOG: An International Journal of Obstetrics & Gynaecology, 2016, Vol 123, Issue 8, p1360
- ISSN
1470-0328
- Publication type
journal article
- DOI
10.1111/1471-0528.13975