Research Article
Volume 9 Issue 6 - 2020
Pre and Postoperative Lower Urinary Tract Dysfunction Associated with Deep Infiltrating Endometriosis: A Prospective Observational Study
Wala Mehros1, Henri Azaïs1, Pierre Collinet1,2 and Chrystèle Rubod1,2*
1CHU Lille, Service de Chirurgie Gynécologique, Lille, France
2Faculté de Médecine, Université de Lille, Lille, France
*Corresponding Author: Chrystèle Rubod, Department of Gynecology, Jeanne de Flandre Hospital, University Hospital, Lille Cedex, France.
Received: March 14, 2020; Published: May 20, 2020




Abstract

Objective: This study evaluates the impact of deep infiltrating endometriosis (DIE) surgery on lower urinary tract dysfunction for patient without preoperative lower urinary tract symptom or documented bladder endometriosis.

Design: A prospective observational study.

Method: We used a portable ultrasound device (bladder scan) to measure bladder post-voiding residual volume (PVR), before and after surgery for all patients undergoing surgery for DIE. Criteria of inclusion: patients older than 18 years-old diagnosed with DIE confirmed by pelvic magnetic resonance imaging (MRI) and required surgical intervention. Criteria of exclusion were patients with contraindication for laparoscopic surgery, patients with preoperative lower urinary tract symptom, patients diagnosed with DIE involving the bladder or the urological tract, patients with history of neurogenic bladder, patients with history of surgical treatment of endometriosis.

Result: 49 patients were included in the study. 9 of 49 patients (18.4%) presented with abnormal preoperative PVR. Among them, 5 patients (10.2%) had normal post-operative PVR and 4 (8.2%) were diagnosed with bladder atony before and after the surgical intervention. 40 patients (81.6%) had normal pre-operative PVR. Among them, 12 patients (24.5%) had abnormal PVR in post-operative period.

Conclusion: Endometriosis is a sever benign condition that could impair bladder function in totally asymptomatic patient. Preoperative PVR measurement is a simple and non-invasive tool to assess voiding function before surgery. Preoperative and postoperative voiding function assessment should be part of the management of patients undergoing surgery for DIE. Impact of DIE and surgery on voiding function should be part of the information given to patients.

Keywords: Deep Infiltrating Endometriosis; Pelvic Surgery; Nerve Sparing; Post-Voiding Residual Volume

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Citation: Chrystèle Rubod., et al. “Pre and Postoperative Lower Urinary Tract Dysfunction Associated with Deep Infiltrating Endometriosis: A Prospective Observational Study”. EC Gynaecology 9.6 (2020): 40-48.

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