Conservative surgical treatment of rectovaginal septum endometriosis

G. B. Candiani, P. Vercellini, L. Fedele, G. Roviaro, C. Rebuffat, L. Trespidi

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Between 1982 and 1991, we performed conservative operations on 11 women aged 23 to 39 years (mean 28 years) with extensive rectovaginal septum endometriosis. Before the intervention, severe deep dyspareunia was reported by 6 patients and moderate by 4, severe dysmenorrhea by 4 and moderate by 5, and severe acyclic pelvic pain by 2, moderate by 4, and mild by 1. The subjects underwent vaginoabdominal surgery with subtotal removal of the posterior vaginal fornix and excision of intraperitoneal endometriosis, with presacral neurectomy in 7 cases and low anterior rectal resection in 5. After a mean follow-up of 41 months, 6 women have no dyspareunia and 5 have mild discomfort, 4 have no dysmenorrhea, 3 have moderate and 4 mild menstrual pain, and 6 have mild acyclic disturbances. Three of nine infertile patients conceived. In selected young women wanting children, with pelvic pain symptoms unrelieved by medical treatment, a conservative vaginoabdominal surgical approach is feasible, and satisfactory therapeutic results can be obtained.

Original languageEnglish
Pages (from-to)177-182
Number of pages6
JournalJournal of Gynecologic Surgery
Volume8
Issue number3
Publication statusPublished - 1992

Fingerprint

Dysmenorrhea
Endometriosis
Dyspareunia
Pelvic Pain
Conservative Treatment
Therapeutics

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Conservative surgical treatment of rectovaginal septum endometriosis. / Candiani, G. B.; Vercellini, P.; Fedele, L.; Roviaro, G.; Rebuffat, C.; Trespidi, L.

In: Journal of Gynecologic Surgery, Vol. 8, No. 3, 1992, p. 177-182.

Research output: Contribution to journalArticle

@article{8201c716df9c4e558a8e636ad65dc230,
title = "Conservative surgical treatment of rectovaginal septum endometriosis",
abstract = "Between 1982 and 1991, we performed conservative operations on 11 women aged 23 to 39 years (mean 28 years) with extensive rectovaginal septum endometriosis. Before the intervention, severe deep dyspareunia was reported by 6 patients and moderate by 4, severe dysmenorrhea by 4 and moderate by 5, and severe acyclic pelvic pain by 2, moderate by 4, and mild by 1. The subjects underwent vaginoabdominal surgery with subtotal removal of the posterior vaginal fornix and excision of intraperitoneal endometriosis, with presacral neurectomy in 7 cases and low anterior rectal resection in 5. After a mean follow-up of 41 months, 6 women have no dyspareunia and 5 have mild discomfort, 4 have no dysmenorrhea, 3 have moderate and 4 mild menstrual pain, and 6 have mild acyclic disturbances. Three of nine infertile patients conceived. In selected young women wanting children, with pelvic pain symptoms unrelieved by medical treatment, a conservative vaginoabdominal surgical approach is feasible, and satisfactory therapeutic results can be obtained.",
author = "Candiani, {G. B.} and P. Vercellini and L. Fedele and G. Roviaro and C. Rebuffat and L. Trespidi",
year = "1992",
language = "English",
volume = "8",
pages = "177--182",
journal = "Journal of Gynecologic Surgery",
issn = "1042-4067",
publisher = "Mary Ann Liebert Inc.",
number = "3",

}

TY - JOUR

T1 - Conservative surgical treatment of rectovaginal septum endometriosis

AU - Candiani, G. B.

AU - Vercellini, P.

AU - Fedele, L.

AU - Roviaro, G.

AU - Rebuffat, C.

AU - Trespidi, L.

PY - 1992

Y1 - 1992

N2 - Between 1982 and 1991, we performed conservative operations on 11 women aged 23 to 39 years (mean 28 years) with extensive rectovaginal septum endometriosis. Before the intervention, severe deep dyspareunia was reported by 6 patients and moderate by 4, severe dysmenorrhea by 4 and moderate by 5, and severe acyclic pelvic pain by 2, moderate by 4, and mild by 1. The subjects underwent vaginoabdominal surgery with subtotal removal of the posterior vaginal fornix and excision of intraperitoneal endometriosis, with presacral neurectomy in 7 cases and low anterior rectal resection in 5. After a mean follow-up of 41 months, 6 women have no dyspareunia and 5 have mild discomfort, 4 have no dysmenorrhea, 3 have moderate and 4 mild menstrual pain, and 6 have mild acyclic disturbances. Three of nine infertile patients conceived. In selected young women wanting children, with pelvic pain symptoms unrelieved by medical treatment, a conservative vaginoabdominal surgical approach is feasible, and satisfactory therapeutic results can be obtained.

AB - Between 1982 and 1991, we performed conservative operations on 11 women aged 23 to 39 years (mean 28 years) with extensive rectovaginal septum endometriosis. Before the intervention, severe deep dyspareunia was reported by 6 patients and moderate by 4, severe dysmenorrhea by 4 and moderate by 5, and severe acyclic pelvic pain by 2, moderate by 4, and mild by 1. The subjects underwent vaginoabdominal surgery with subtotal removal of the posterior vaginal fornix and excision of intraperitoneal endometriosis, with presacral neurectomy in 7 cases and low anterior rectal resection in 5. After a mean follow-up of 41 months, 6 women have no dyspareunia and 5 have mild discomfort, 4 have no dysmenorrhea, 3 have moderate and 4 mild menstrual pain, and 6 have mild acyclic disturbances. Three of nine infertile patients conceived. In selected young women wanting children, with pelvic pain symptoms unrelieved by medical treatment, a conservative vaginoabdominal surgical approach is feasible, and satisfactory therapeutic results can be obtained.

UR - http://www.scopus.com/inward/record.url?scp=0026968874&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026968874&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0026968874

VL - 8

SP - 177

EP - 182

JO - Journal of Gynecologic Surgery

JF - Journal of Gynecologic Surgery

SN - 1042-4067

IS - 3

ER -