caa a22 4500 445308303 CHVBK 20180317142620.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s00404-010-1833-2 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1833-2 Follow-up of dysfunctional bladder and rectum after surgery of a deep infiltrating rectovaginal endometriosis [Elektronische Daten] [A. Kavallaris, I. Mebes, D. Evagyelinos, A. Dafopoulos, D. Beyer] 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 92months. 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. Springer-Verlag, 2011 Endometriosis nationallicence Laparoscopy nationallicence Bladder dysfunction nationallicence Rectal dysfunction nationallicence Kavallaris A. Department of Gynecology and Obstretics, University of Schleswig-Holstein Campus Luebeck, Luebeck, Germany aut Mebes I. Department of Gynecology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany aut Evagyelinos D. Department of Gynecology and Obstretics, University of Schleswig-Holstein Campus Luebeck, Luebeck, Germany aut Dafopoulos A. Department of Gynecology and Obstretics, University of Schleswig-Holstein Campus Luebeck, Luebeck, Germany aut Beyer D. Department of Gynecology and Obstretics, University of Schleswig-Holstein Campus Luebeck, Luebeck, Germany aut Archives of Gynecology and Obstetrics Springer-Verlag 283/5(2011-05-01), 1021-1026 0932-0067 283:5<1021 2011 283 404 https://doi.org/10.1007/s00404-010-1833-2 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1833-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kavallaris A. Department of Gynecology and Obstretics, University of Schleswig-Holstein Campus Luebeck, Luebeck, Germany aut NATIONALLICENCE 700 1- Mebes I. Department of Gynecology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany aut NATIONALLICENCE 700 1- Evagyelinos D. Department of Gynecology and Obstretics, University of Schleswig-Holstein Campus Luebeck, Luebeck, Germany aut NATIONALLICENCE 700 1- Dafopoulos A. Department of Gynecology and Obstretics, University of Schleswig-Holstein Campus Luebeck, Luebeck, Germany aut NATIONALLICENCE 700 1- Beyer D. Department of Gynecology and Obstretics, University of Schleswig-Holstein Campus Luebeck, Luebeck, Germany aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/5(2011-05-01), 1021-1026 0932-0067 283:5<1021 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer