Association between disease extent and pain symptoms in patients with deep infiltrating endometriosis

Reproductive Biomedicine Online
Eliana MontanariGernot Hudelist

Abstract

The study aimed to assess the associations between pre-operative symptoms in patients with deep infiltrating endometriosis (DIE) and intraoperatively determined extent of disease as described by the revised ENZIAN score. This was a retrospective data analysis of women who underwent surgery for DIE between 2014 and 2018 at the Department of Gynecology, Hospital St. John of God, Vienna (a tertiary referral centre for endometriosis). Data from 245 women were analysed. Statistically significant associations were found between involvement of ENZIAN compartment B (uterosacral ligaments, parametrium) and presence of dyspareunia (P = 0.002), ENZIAN compartment C (rectum, sigmoid colon) and dyschezia (P < 0.001), and ENZIAN compartment FB (urinary bladder) and dysuria (P < 0.001, Fisher's exact test). Statistically significant correlations were also detected between symptom severity of dyschezia and lesion size in ENZIAN compartment C (rs = 0.334, P < 0.001), and severity of dyspareunia and lesion size in ENZIAN compartment B (rs = 0.127, P = 0.046). Severity of dysmenorrhoea was correlated with lesion size in ENZIAN compartment A (rs = 0.244, P < 0.001) and was associated with the presence of adenomyosis (compartment FA; P = 0.005, Man...Continue Reading

Citations

Feb 18, 2020·Human Reproduction Open·UNKNOWN Working group of ESGE, ESHRE, and WESRudy Leon De Wilde
Feb 19, 2020·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M K Aas-EngG Hudelist
Aug 9, 2020·Yeungnam University Journal of Medicine·Soo-Young LeeDae-Hyung Lee
Feb 10, 2021·Best Practice & Research. Clinical Obstetrics & Gynaecology·Jörg Keckstein, Gernot Hudelist
Jan 24, 2021·Acta Obstetricia Et Gynecologica Scandinavica·Jörg KecksteinGernot Hudelist
Aug 20, 2021·Journal of Minimally Invasive Gynecology·Monica Tessmann ZomerJaime Kulak

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