Urinary dysfunction after colorectal resection for endometriosis: results of a prospective randomized trial comparing laparoscopy to open surgery - 19/08/11
Résumé |
Objective |
To evaluate urinary symptoms before and after colorectal resection for endometriosis using validated questionnaires.
Study Design |
We randomly assigned 52 patients with colorectal endometriosis to undergo laparoscopically assisted or open colorectal resection. The median follow-up was 19 months. Urinary symptoms were evaluated using the International Prostate Score Symptom and the Bristol Female Low Urinary Tract Symptoms questionnaires.
Results |
Dysuria was observed in 29% of cases postoperatively. Using Bristol Female Low Urinary Tract Symptoms and International Prostate Score Symptom scores, an alteration was observed for voiding symptoms (P = .01 and P = .006, respectively). No difference was observed between the laparoscopy and the open surgery group. An alteration of the International Prostate Score Symptom voiding symptoms was observed in the group that did not undergo nerve sparing surgery (P = .048). An alteration of the International Prostate Score Symptom voiding symptoms was observed for patients who underwent vaginal resection (P = .01) and parametrial resection (P = .02).
Conclusion |
Our findings confirm that colorectal resection for endometriosis is a source of urinary dysfunction whatever the surgical route.
Le texte complet de cet article est disponible en PDF.Key words : BFLUTS (Bristol Female Low Urinary Tract Symptoms) questionnaire, colorectal endometriosis, IPSS (International Prostate Score Symptom) questionnaire, nerve sparing surgery, quality of life, urinary dysfunction
Plan
| Reprints not available from the authors. |
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| Cite this article as: Ballester M, Chereau E, Dubernard G, et al. Urinary dysfunction after colorectal resection for endometriosis: results of a prospective randomized trial comparing laparoscopy to open surgery. Am J Obstet Gynecol 2011;204:303.e1-6. |
Vol 204 - N° 4
P. 303.e1-303.e6 - avril 2011 Retour au numéro
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