Follow-up of dysfunctional bladder and rectum after surgery of a deep infiltrating rectovaginal endometriosis

A. Kavallaris, I. Mebes, D. Evagyelinos, A. Dafopoulos, D. A. Beyer

18 Citations (Scopus)


Purpose: The radical surgery of the deep infiltrating endometriosis of the rectovaginal septum and the uterosacral ligaments with or without bowel resection can cause a serious damage of the pelvic autonomic nerves with urinary retention and the need of self-catheterization. Major goal of this review article is to compare different surgical techniques of deep infiltrating endometriosis and their follow-up results. Methods: The research strategy included the online search of databases [MEDLINE, EMBASE, SCOPUS] for the diagnosis of deep infiltrating endometriosis with the indication of an operative resection. The outcome of the follow-up terms were noticed and compared. Results: All in all, 16 trials could be identified with included follow-up. In all patients at least single-sided resection of the uterosacral ligaments were performed. Follow-up was heterogeneous in all trials ranging from 1 to 92 months. Postoperative symptoms, such as dysmenorrhoea, pelvic pain, and dyspareunia were commonly described in the majority of trials. Nevertheless, a tendency towards lower comorbidity after nerve sparing resection of endometriosis could be observed. Conclusion: Identification of the inferior hypogastric nerve and plexus was feasible in the minority of trials. In comparison with non-nerve-sparing surgical technique, no cases of bladder self-catheterization for a long or even life time was observed, confirming the importance of the nerve-sparing surgical procedure.

Original languageEnglish
JournalArchives of Gynecology and Obstetrics
Issue number5
Pages (from-to)1021-1026
Number of pages6
Publication statusPublished - 01.05.2011


Dive into the research topics of 'Follow-up of dysfunctional bladder and rectum after surgery of a deep infiltrating rectovaginal endometriosis'. Together they form a unique fingerprint.

Cite this