Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis
Introduction. Large resections may be necessary in cytoreductive surgery for endometriosis, which present risk of urinary and bowel complications. Presentation of Case. A 29-year-old woman underwent multidisciplinary laparoscopy for endometriosis in a private practice setting for acyclic pelvic pain...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2020/8830867 |
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| author | Claudio Peixoto Crispi Claudio Peixoto Crispi Alice Cristina Coelho Brandão Salomão Claudia Maria Vale Joaquim Bruna Rafaela Santos de Oliveira Marlon de Freitas Fonseca |
| author_facet | Claudio Peixoto Crispi Claudio Peixoto Crispi Alice Cristina Coelho Brandão Salomão Claudia Maria Vale Joaquim Bruna Rafaela Santos de Oliveira Marlon de Freitas Fonseca |
| author_sort | Claudio Peixoto Crispi |
| collection | DOAJ |
| description | Introduction. Large resections may be necessary in cytoreductive surgery for endometriosis, which present risk of urinary and bowel complications. Presentation of Case. A 29-year-old woman underwent multidisciplinary laparoscopy for endometriosis in a private practice setting for acyclic pelvic pain and cyclic abdominal distension with changes in bowel habits and frequent sensation of incomplete defecation. After surgery, urodynamics remained normal and bowel function improved subjectively and objectively per dynamic magnetic resonance defecography (DMRD). The five-month follow-up found improvements in pain scores, bowel function, and health-related quality of life (assessed by the full versions of the Short Form 36 and Endometriosis Health Profile 30 scales). Discussion. Animus may contribute to the bowel symptoms in women with endometriosis. DMRD provides additional objective parameters for comparing pre- and postoperative functions. Conclusion. A nerve-sparing segmental rectosigmoidectomy for endometriosis carefully executed by a multidisciplinary team can preserve the function of different pelvic organs. |
| format | Article |
| id | doaj-art-1f220b20d6284129be6700f271773284 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-1f220b20d6284129be6700f2717732842025-02-03T06:46:56ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922020-01-01202010.1155/2020/88308678830867Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for EndometriosisClaudio Peixoto Crispi0Claudio Peixoto Crispi1Alice Cristina Coelho Brandão Salomão2Claudia Maria Vale Joaquim3Bruna Rafaela Santos de Oliveira4Marlon de Freitas Fonseca5Crispi Institute of Minimally Invasive Surgery, Barra da Tijuca, Rio de Janeiro, RJ, BrazilCrispi Institute of Minimally Invasive Surgery, Barra da Tijuca, Rio de Janeiro, RJ, BrazilFonte Imagem Medicina Diagnóstica, Lagoa, Rio de Janeiro, RJ, BrazilCrispi Institute of Minimally Invasive Surgery, Barra da Tijuca, Rio de Janeiro, RJ, BrazilCrispi Institute of Minimally Invasive Surgery, Barra da Tijuca, Rio de Janeiro, RJ, BrazilDepartment of Women’s Health, Fernandes Figueira National Institute for Women, Children and Youth Health, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, BrazilIntroduction. Large resections may be necessary in cytoreductive surgery for endometriosis, which present risk of urinary and bowel complications. Presentation of Case. A 29-year-old woman underwent multidisciplinary laparoscopy for endometriosis in a private practice setting for acyclic pelvic pain and cyclic abdominal distension with changes in bowel habits and frequent sensation of incomplete defecation. After surgery, urodynamics remained normal and bowel function improved subjectively and objectively per dynamic magnetic resonance defecography (DMRD). The five-month follow-up found improvements in pain scores, bowel function, and health-related quality of life (assessed by the full versions of the Short Form 36 and Endometriosis Health Profile 30 scales). Discussion. Animus may contribute to the bowel symptoms in women with endometriosis. DMRD provides additional objective parameters for comparing pre- and postoperative functions. Conclusion. A nerve-sparing segmental rectosigmoidectomy for endometriosis carefully executed by a multidisciplinary team can preserve the function of different pelvic organs.http://dx.doi.org/10.1155/2020/8830867 |
| spellingShingle | Claudio Peixoto Crispi Claudio Peixoto Crispi Alice Cristina Coelho Brandão Salomão Claudia Maria Vale Joaquim Bruna Rafaela Santos de Oliveira Marlon de Freitas Fonseca Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis Case Reports in Obstetrics and Gynecology |
| title | Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis |
| title_full | Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis |
| title_fullStr | Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis |
| title_full_unstemmed | Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis |
| title_short | Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis |
| title_sort | five month follow up assessing defecography and urodynamics after laparoscopic nerve sparing colorectal resection for endometriosis |
| url | http://dx.doi.org/10.1155/2020/8830867 |
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