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Deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013
Urinary tract endometriosis (UTE) is a rare form of deep infiltrating endometriosis. We studied the operative treatment of UTE and evaluated postoperative recurrences and fertility outcomes. This is a retrospective cohort study of 53 women who underwent operative treatment for UTE in 2004–2013 at He...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5133280/ https://www.ncbi.nlm.nih.gov/pubmed/28003801 http://dx.doi.org/10.1007/s10397-016-0958-0 |
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author | Saavalainen, Liisu Heikinheimo, Oskari Tiitinen, Aila Härkki, Päivi |
author_facet | Saavalainen, Liisu Heikinheimo, Oskari Tiitinen, Aila Härkki, Päivi |
author_sort | Saavalainen, Liisu |
collection | PubMed |
description | Urinary tract endometriosis (UTE) is a rare form of deep infiltrating endometriosis. We studied the operative treatment of UTE and evaluated postoperative recurrences and fertility outcomes. This is a retrospective cohort study of 53 women who underwent operative treatment for UTE in 2004–2013 at Helsinki University Hospital, and were followed-up until the end of 2014. The data were gathered from the hospital’s electronic database. The main outcome measures were complications, reoperations, postoperative pregnancies, and deliveries. Preoperative diagnosis was accurate in 72 % with bladder endometriosis and in 93 % with ureteral disease. Thirty-one (58 %) of the 53 operations were performed via laparoscopy. Postoperative complications requiring re-intervention occurred in five cases (9 %). Five reoperations were performed in four cases due to endometriosis recurrence, only two due to recurrence of UTE (4 %). Twenty-eight women wished for pregnancy; 18 (64 %) of them conceived. Infertility treatment was needed in 20 (71 %) cases. Twelve (75 %) women delivered via cesarean section; intraoperative difficulties occurred in ten (83 %). The complication rate with UTE operations is acceptable and recurrences are rare. Infertility is common, but 57 % of those who wished for a child succeeded. A majority of the deliveries involved unplanned and complicated cesarean section. |
format | Online Article Text |
id | pubmed-5133280 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-51332802016-12-19 Deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013 Saavalainen, Liisu Heikinheimo, Oskari Tiitinen, Aila Härkki, Päivi Gynecol Surg Original Article Urinary tract endometriosis (UTE) is a rare form of deep infiltrating endometriosis. We studied the operative treatment of UTE and evaluated postoperative recurrences and fertility outcomes. This is a retrospective cohort study of 53 women who underwent operative treatment for UTE in 2004–2013 at Helsinki University Hospital, and were followed-up until the end of 2014. The data were gathered from the hospital’s electronic database. The main outcome measures were complications, reoperations, postoperative pregnancies, and deliveries. Preoperative diagnosis was accurate in 72 % with bladder endometriosis and in 93 % with ureteral disease. Thirty-one (58 %) of the 53 operations were performed via laparoscopy. Postoperative complications requiring re-intervention occurred in five cases (9 %). Five reoperations were performed in four cases due to endometriosis recurrence, only two due to recurrence of UTE (4 %). Twenty-eight women wished for pregnancy; 18 (64 %) of them conceived. Infertility treatment was needed in 20 (71 %) cases. Twelve (75 %) women delivered via cesarean section; intraoperative difficulties occurred in ten (83 %). The complication rate with UTE operations is acceptable and recurrences are rare. Infertility is common, but 57 % of those who wished for a child succeeded. A majority of the deliveries involved unplanned and complicated cesarean section. Springer Berlin Heidelberg 2016-05-26 2016 /pmc/articles/PMC5133280/ /pubmed/28003801 http://dx.doi.org/10.1007/s10397-016-0958-0 Text en © Springer-Verlag Berlin Heidelberg 2016 |
spellingShingle | Original Article Saavalainen, Liisu Heikinheimo, Oskari Tiitinen, Aila Härkki, Päivi Deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013 |
title | Deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013 |
title_full | Deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013 |
title_fullStr | Deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013 |
title_full_unstemmed | Deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013 |
title_short | Deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013 |
title_sort | deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013 |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5133280/ https://www.ncbi.nlm.nih.gov/pubmed/28003801 http://dx.doi.org/10.1007/s10397-016-0958-0 |
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