[Colorectal endometriosis and fertility]. / Endométriose rectale et fertilité
Gynecol Obstet Fertil
; 36(12): 1214-7, 2008 Dec.
Article
en Fr
| MEDLINE
| ID: mdl-19013097
ABSTRACT
Endometriosis is a common gynaecological condition affecting 10 to 15% of the female population. Deep infiltrating endometriosis (DIE) is diagnosed in 20% of women with endometriosis. Moreover, bowel endometriosis is found in five to 12% of patients with endometriosis. Colorectum represents 90% of all bowel locations. For women with infertility associated with colorectal endometriosis, no predictive criteria of fertility outcome are available. In a literature review, the pregnancy rate after colorectal resection reached 63%. These results, particularly high, raise the issue on legitimacy of colorectal resection in infertile women. Recent studies suggest that predictive criteria of success after colorectal resection are; a young age; a low American Society of Reproductive Medicine (ASRM) score and the laparoscopic route. In contrast, the presence of adenomyosis appears a negative predictive factor of fertility outcome. Despite encouraging results on the fertility of colorectal resection for endometriosis, only studies comparing the results of assisted reproductive therapy to those of surgery are required to identify good candidates for surgery.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Enfermedades del Recto
/
Cirugía Colorrectal
/
Enfermedades del Colon
/
Endometriosis
/
Fertilidad
Tipo de estudio:
Prognostic_studies
Límite:
Female
/
Humans
Idioma:
Fr
Revista:
Gynecol Obstet Fertil
Asunto de la revista:
GINECOLOGIA
/
OBSTETRICIA
Año:
2008
Tipo del documento:
Article
País de afiliación:
Francia