Partial colpectomy is a risk factor for urologic complications of colorectal resection for endometriosis.
J Minim Invasive Gynecol
; 20(1): 49-55, 2013.
Article
em En
| MEDLINE
| ID: mdl-23131702
ABSTRACT
STUDY OBJECTIVE:
To evaluate urologic complications after colorectal resection for endometriosis.DESIGN:
Cohort study (Canadian Task Force classification II-2).SETTING:
Tertiary referral university hospital and expert center in endometriosis. PATIENTS One hundred sixty-six women with colorectal endometriosis proven by transvaginal sonography and magnetic resonance imaging. INTERVENTION Open or laparoscopic colorectal resection for endometriosis. MEASUREMENTS AND MAINRESULTS:
Forty-four patients (26.5%) experienced at least 1 urologic complication, including infection. Eight patients (4.8%) experienced postoperative symptomatic hydronephrosis requiring ureteral stent in 3 cases, a percutaneous nephrostomy in 1 case, and expectant management for the last 4. Urologic fistulas occurred in 5 patients (3%). Postoperative voiding dysfunction requiring self-catheterization was observed in 48 patients (28.9%). With univariate analysis, a relationship was found between voiding dysfunction and partial colpectomy (p = .001) and American Society of Reproductive Medicine total score (p = .02), and between the occurrence of urinary fistula and the use of prophylactic ureteral catheterization (p = .015) and parametrectomy (p = .02). A relationship was found between postoperative symptomatic hydronephrosis and the use of prophylactic ureteral catheterization (p = .003).CONCLUSION:
Colorectal resection for endometriosis can lead to urologic complications, particularly for patients requiring partial colpectomy, of which patients need to be informed.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Doenças Urológicas
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Doenças Vaginais
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Laparoscopia
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Endometriose
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Middle aged
Idioma:
En
Revista:
J Minim Invasive Gynecol
Assunto da revista:
GINECOLOGIA
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
França