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Conservative approach to rectosigmoid endometriosis: a cohort study
Anne G Egekvist1,2, Edvard Marinovskij3, Axel Forman1,2
1Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Acta Obstetricia Et Gynecologica Scandinavica
|January 14, 2017
Summary
Most patients with rectosigmoid endometriosis treated conservatively avoid surgery. This study assessed surgery risk in relation to demographic data, finding conservative management successful for many.
Area of Science:
- Reproductive Medicine
- Surgical Gynecology
Background:
- Rectosigmoid endometriosis presents a significant clinical challenge.
- Conservative management is an option for selected patients.
Purpose of the Study:
- To evaluate the risk of surgery following initial conservative treatment for rectosigmoid endometriosis.
- To analyze this risk in relation to patient demographic data.
Main Methods:
- Retrospective audit of medical records from a tertiary endometriosis referral unit.
- Inclusion of patients diagnosed with rectosigmoid endometriosis and over 6 months follow-up.
- Registration of demographic data, MRI findings, and time to secondary surgery.
Main Results:
- Data from 238 patients with rectosigmoid endometriosis were analyzed.
- 32.8% underwent primary surgery, 11.3% secondary surgery, and 55.9% continued conservative treatment.
- Patients undergoing surgery were younger than those on conservative management.
Conclusions:
- In a specialized center, approximately half of rectosigmoid endometriosis patients were considered for conservative treatment.
- Over 80% of patients managed conservatively successfully avoided surgery.
Keywords:
Endometriosisdeeply infiltrating endometriosislaparoscopymedical treatmentrectosigmoid endometriosissurgeryMore Related Videos
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