Bokor A, Csibi N, Lukovich P, Brubel R, Joó JG, Rigó J. [Importance of nerve-sparing surgical technique in the treatment of deep infiltrating endometriosis].
Orv Hetil 2015;
156:1960-5. [PMID:
26588855 DOI:
10.1556/650.2015.30290]
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Abstract
INTRODUCTION
Traditional surgeries performed in cases of deep infiltrating endometriosis lead to impaired quality of life.
AIM
To summarize the postoperative outcome and to compare the rate of postoperative complications after different therapeutic approaches applied in deep infiltrating endometriosis.
METHOD
The authors analized the articles published between March 31, 2004 and March 31, 2015, in the database http://www.pubmed.org using the following keywords: endometriosis, deep infiltrating, nerve sparing, surgery.
RESULTS
Non-nerve sparing surgery resulted in temporary urinary dysfunction in 19.1-38.5% of patients, while it occurred in 0.61-33.3% of patients after nerve-sparing surgery. Non-nerve sparing surgical technique resulted in an average of 121 days of need for self-catheretisation. When nerve-sparing surgeries were performed the duration of self-catheterisation varied between 7 to 39.8 days. After nerve sparing surgeries, permanent bladder dysfunction was not detected in any case.
CONCLUSIONS
Because of the successful treatment of the patients symptoms and the lower postoperative complication rate, nerve-sparing surgical technique leads to a significant improvement of the quality of life.
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