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Deep endometriosis and bladder and detrusor functions in women without urinary symptoms: a pilot study through an unexplored world.

Abstract：

OBJECTIVE:To evaluate the impact of deep endometriosis (DE) on bladder function, focusing on detrusor pattern, in patients without preoperative urinary symptoms. DESIGN:Prospective study. SETTING:Academic research center. PATIENT(S):A total of 25 asymptomatic patients: 12 patients with DE (group 1) and 13 patients with ovarian endometriosis (group 2, control group). INTERVENTION(S):Preoperative urodynamic evaluation. MAIN OUTCOME MEASURE(S):The impact of DE on urodynamic parameters. RESULT(S):For the first time, a urodynamic diagnosis of detrusor overactivity was correlated with the presence of deep infiltrating endometriosis (group 1, 91.7% [11/12] vs. group 2, 7.7% [1/13]). All involuntary detrusor contractions were detected only during the filling phase. All cystometry parameters were found to be altered in group 1 and statistically different between the two groups. No pressure/flow study parameter significantly differed between the two groups, besides maximal detrusor pressure (46 cmH2O [33-79] vs. 29 cmH2O [15-40]), which was significantly higher in group 1. Therefore, all detrusor-related parameters are statistically different between the two groups. Postvoid residual does not reach a statistically significant difference. CONCLUSION(S):DE could significantly impair detrusor functions. A preoperative urodynamic evaluation allows the attainment of important functional information, even in asymptomatic patients.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Serati M,Cattoni E,Braga A,Uccella S,Cromi A,Ghezzi F

doi

10.1016/j.fertnstert.2013.06.044

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

1332-6

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(13)00744-9

journal_volume

100

pub_type

杂志文章

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