Deep pelvic endometriosis: management and proposal for a "surgical classification"

Gynécologie, obstétrique & fertilité
C ChapronA Fauconnier

Abstract

Deep pelvic endometriosis presents essentially in the form of a painful syndrome dominated by deep dyspareunia and painful functional symptoms that recur according to the menstrual cycle, with the semiology directly correlated with the location of the lesions (bladder, rectum). It is essential to investigate these deep endometriosis lesions and draw up a precise map, which is the only way to be sure that exeresis will be complete. The treatment of first intention remains surgery, and medical treatment is only palliative in the majority of cases. Success of treatment depends on how radical surgical exeresis is. Based on analysis of the anatomical distribution of deep pelvic endometriosis lesions, a "surgical classification" is proposed with the aim of establishing standard modes for surgical treatment. Further studies are required to clarify the place and modes for pre- and postoperative medical treatment.

Citations

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Nov 18, 2014·World Journal of Gastrointestinal Endoscopy·Gilles Roseau
Oct 5, 2020·Acta Obstetricia Et Gynecologica Scandinavica·Anne OppenheimerArnaud Fauconnier
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Jul 11, 2006·Gynécologie, obstétrique & fertilité·P PanelF Boidart
Aug 8, 2021·Journal of Clinical Medicine·Anne PucharArnaud Fauconnier
Oct 26, 2021·Human Reproduction Open·UNKNOWN International working group of AAGL, ESGE, ESHRE and WESRudy Leon De Wilde

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