A narrative review of functional outcomes following nerve-sparing surgery for deeply infiltrating endometriosis.

Autor:	Leopold B; Department of Obstetrics and Gynecology, Mount Sinai Medical Center, New York, NY, USA., Klebanoff JS; Department of Obstetrics and Gynecology, Main Line Health, Wyndewood, PA, USA., Bendifallah S; Department of Gynecology and Obstetrics, Tenon University Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP), Sorbonne University, Sorbonne, France.; UMRS-938, Sorbonne, France.; Groupe de Recherche Clinique 6 (GRC6-Sorbonne Université): Centre Expert En Endométriose (C3E), Sorbonne, France., Ayoubi JM; Department of Obstetrics and Gynecology and Reproductive Medicine, Hopital Foch, Faculté de Médecine Paris Ouest (UVSQ), Suresnes, France., Soares T; Department of Obstetrics and Gynecology, State University of Rio de Janeiro, Rio de Janeiro, Brazil., Rahman S; Department of Obstetrics and Gynecology, The George Washington University Hospital, Washington, DC, USA., Moawad GN; Department of Obstetrics and Gynecology, The George Washington University Hospital, Washington, DC, USA.
Jazyk:	angličtina
Zdroj:	Hormone molecular biology and clinical investigation [Horm Mol Biol Clin Investig] 2021 Mar 05; Vol. 43 (2), pp. 123-126. Date of Electronic Publication: 2021 Mar 05.
DOI:	10.1515/hmbci-2020-0064
Abstrakt:	Endometriosis negatively impacts the lives of countless women around the world. When medical management fails to improve the quality of life for women with either previously confirmed or suspected endometriosis often a decision must be made whether or not to proceed with surgery. When deeply infiltrating disease is diagnosed either clinically or by imaging studies often medical management alone will not suffice without excisional surgery. Surgery for endometriosis, especially deeply infiltrating disease, is not without risks. Aside from common risks of surgery endometriosis may also involve pelvic nerves, which can be hard to recognize to the untrained eye. Identification of pelvic nerves commonly encountered during endometriosis surgery is paramount to avoid inadvertent injury to optimize function outcomes. Injury to pelvic nerves can lead to urinary retention, constipation, sexual dysfunction, and refractory pain. However, nerve-sparing surgery for endometriosis has been proven to mitigate these complications and enhance recovery following surgery. Here we review the benefits of nerve-sparing surgery for deeply infiltrating disease. (© 2021 Walter de Gruyter GmbH, Berlin/Boston.)
Databáze:	MEDLINE
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