Urinary Dysfunction and Deep Endometriosis
Voiding dysfunction after complex deep endometriosis surgery is probably one of the less recognised complications of this type of surgery. Certain locations of deep endometriosis (eg. Parametrium, uterosacral ligaments, sacral plexus), when excised, may be linked to higher risk of voiding dysfunction post-operatively. This may be due to inadvertent injury to the innervation of […]
Endometriosis: Symptoms and ART outcomes
Endometriosis is a common, benign gynecological disease that is usually associated with pain and/or infertility. It appears likely that chronic inflammation, that is typical of endometriosis lesions, plays a role in chronic pain as well as infertility. It is, therefore, logical to ask if there is a possible link between the severity of endometriosis symptoms […]
Recurrent Endometrioma: A Marker of Disease Severity?
According to a new study, patients operated for recurrent endometrioma had more deep endometriosis lesions and more severe disease, compared to those with no previous endometrioma surgery.
Repeat Surgery for Endometriosis: How common is it?
The most comprehensive study on the risk of repeat surgery for endometriosis was only recently published, suggesting a risk of up to 28% during the first 10 years after complete excision of endometriosis. What is also interesting is that performing a hysterectomy at the time of first surgery, as well as achieving a post-operative pregnancy, were found to be independent, protective factors against repeat surgery. The mean time between primary and repeat surgery in this study was 46 months (1).
Natural Conception and Deep Endometriosis: Does Surgery Increase the Chances?
Η διηθητική ενδομητρίωση θεωρείται η πιο σοβαρή μορφή ενδομητρίωσης. Σχετίζεται, συνήθως, με χρόνιο πυελικό πόνο κι υπογονιμότητα. Όσον αφορά το δεύτερο, η σοβαρή αλλοίωση της φυσιολογικής ανατομίας της πυέλου λόγω συμφύσεων και η χρόνια φλεγμονή παίζουν κεντρικό ρόλο. Πέραν της εξωσωματικής γονιμοποίησης, η χειρουργική αφαίρεση της διηθητικής ενδομητρίωσης είναι ένα χρήσιμο εργαλείο, καθώς μπορεί να […]
Ovarian Endometrioma or Chocolate Cyst of the Ovary: Surgical Techniques and Fertility Outcomes
Endometrioma (or chocolate cyst of the ovary) is estimated to affect 17-44% of women suffering from endometriosis (1). Its presence is often associated with infertility and/ or chronic pelvic pain and its surgical management may be indicated. What are the available methods of surgical management of endometrioma and what outcomes are they linked […]
Endometrioma Ablation: The Role of Laser and Plasma Energy
Endometrioma is a type of ovarian cyst that develops secondary to the presence of endometriosis. It is, also, called ‘’chocolate cyst’’ due to the characteristic colour of the fluid it contains. 17% to 44% of women with endometriosis have an endometrioma (1), of which, in 19% to 28% of cases, the endometrioma is bilateral (2). […]
Ενδομητρίωση και Αποβολές: Υπάρχει συσχέτιση;
Μελέτες έχουν καταδείξει πως το ενδομήτριο γυναικών με ενδομητρίωση παρουσιάζει διαφορές σε σχέση με εκείνο γυναικών που δεν πάσχουν από τη νόσο (1,2). Οι διαφορές αυτές, ενδεχομένως, να σχετίζονται με διαταραχές εμφύτευσης κι ανάπτυξης του πλακούντα (3). Ωστόσο, οι δημοσιευμένες μελέτες καταδεικνύουν αντικρουόμενα αποτελέσματα σχετικά με μια πιθανή συσχέτιση ενδομητρίωσης και αυτόματων αποβολών. Ας κοιτάξουμε, […]
Endometriosis Surgery: Gastrointestinal System
Endometriosis of the gastrointestinal system accounts for 5 to 12% of deep endometriosis cases1. 90% infiltrates the rectum and the sigmoid (large bowel)2. In most cases, the patients present with severe symptoms, such as the following: dyschezia (pain on opening the bowels), haematochezia (blood in the stools), bloating and change between constipation and diarrhoea. Those […]
Endometriosis Surgery: Urinary Tract
The urinary tract is infiltrated in 14-20% of patients with deep infiltrating endometriosis1. They often coexist with other endometriosis lesions. The most common symptoms are frequent urination, pain and burning on urination, strong desire to pass urine, blood in the urine and inability to fully empty the bladder. Some patients may have no symptoms at […]