Is Complete Excision Always Enough? A Quality of Sexual Life Assessment in Patients with Deep Endometriosis

被引:0
作者
Enciu, Raluca Gabriela [1 ,2 ]
Enciu, Octavian [3 ]
Georgescu, Dragos Eugen [3 ]
Tulin, Adrian [3 ]
Miron, Adrian [3 ]
机构
[1] Clin Hosp Obstet & Gynecol Prof Dr Panait Sarbu, Bucharest 060251, Romania
[2] Medicover Endometriosis Ctr, Bucharest 013982, Romania
[3] Carol Davila Univ Med & Pharm, Discipline Gen Surg, Fac Med, Bucharest 050474, Romania
来源
MEDICINA-LITHUANIA | 2024年 / 60卷 / 09期
关键词
endometriosis; EHP-30; dyspareunia; QoSL; PELVIC ENDOMETRIOSIS; INFILTRATING ENDOMETRIOSIS; ENZIAN CLASSIFICATION; RECTOVAGINAL SEPTUM; PAIN SYMPTOMS; DISEASE; STAGE; WOMEN; SCORE;
D O I
10.3390/medicina60091534
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives: The aim of this study was to find the factors associated with the severe impairment of QoSL and the factors associated with a better score in QoSL, as well as the evaluation of pain symptoms and QoSL after the complete and incomplete excision of rectovaginal nodules. Materials and methods: The present prospective study was conducted in a single tertiary center for endometriosis where 116 patients underwent laparoscopic surgery for deep endometriosis during a 3-year period. The goal of the intervention was to excise all endometriotic implants while conserving the rectum. Intraoperative findings were recorded after the intervention, and the patients were classified according to the ENZIAN classification and rASRM scores. QoSL was assessed using the EHP-30 Module C (QoSL Score). Results: When comparing the mean scores before and 2 years after the surgery, a highly significant improvement was found for QoSL and dysmenorrhea (p < 0.0001). The complete excision of rectovaginal nodules led to a significantly better QoSL and lower dyspareunia (p < 0.0001) than incomplete resection (p < 0.02). Conclusions: This prospective study proves that the complete laparoscopic excision of all endometriotic implants improved the QoSL and decreased the pain score of dyspareunia. Incomplete rectovaginal nodule excision was correlated with a poorer QoSL and a lower improvement of dysmenorrhea, dyspareunia, and chronic pelvic pain scores than complete excision.
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页数:11
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