Pelvic organ function before and after laparoscopic bowel resection for rectosigmoid endometriosis:a prospective, observational study
| Autor: | Mikkel Seyer-Hansen, Axel Forman, Marianne Glavind-Kristensen, Mads Riiskjær, Susanne Greisen, US Kesmodel |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry medicine.medical_treatment Urinary system Endometriosis Obstetrics and Gynecology Bowel resection medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis medicine Defecation Urodynamic testing Sexual function Laparoscopy business Contraindication |
| Zdroj: | Riiskjaer, M, Greisen, S, Glavind-Kristensen, M, Kesmodel, U S, Forman, A & Seyer-Hansen, M 2016, ' Pelvic organ function before and after laparoscopic bowel resection for rectosigmoid endometriosis : a prospective, observational study ', B J O G, vol. 123, no. 8, pp. 1360-1367 . https://doi.org/10.1111/1471-0528.13975 |
| DOI: | 10.1111/1471-0528.13975 |
| Popis: | OBJECTIVE: To assess urinary, sexual, and bowel function before and after laparoscopic bowel resection for rectosigmoid endometriosis.DESIGN: Prospectively collected data regarding the function of the pelvic organs.SETTING: Tertiary endometriosis referral unit, Aarhus University Hospital.SAMPLE: A cohort of 128 patients who underwent laparoscopic bowel resection for endometriosis.METHODS: 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.MAIN OUTCOME MEASURES: Pre- and postoperative function of the pelvic organs was compared, and risk factors for improved/impaired function were identified.RESULTS: 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.CONCLUSION: 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.TWEETABLE ABSTRACT: Rectal resection for endometriosis does not impair urinary and sexual function 1 year after surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|