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Clinical and Experimental Obstetrics & Gynecology  2016, Vol. 43 Issue (6): 836-839    DOI: 10.12891/ceog3367.2016
Original Research Previous articles | Next articles
Management of bladder endometriosis with combined transurethral and laparoscopic approach.Follow-up of pain control, quality of life, and sexual function at 12 months after surgery
A. Pontis1, L. Nappi2, F. Sedda3, F. Multinu3, P. Litta4, S. Angioni3, *()
1U.O.C Obstetric and Gynecology, Ospedale San Francesco, Nuoro
2Department of Obstetric and Gynecology, University of Foggia, Foggia
3Department of Obstetric and Gynecology, University of Cagliari, Cagliari
4Department of Obstetric and Gynecology, University of Padua, Padua (Italy)
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Abstract  
To describe the pre-surgical and post-surgical outcomes at one year in terms of recurrence of lower urinary tract symptoms, quality of life, and sexual function of a transurethral and laparoscopic combined approach in the treatment of bladder endometriosis. The authors performed a prospective observational study of 16 women affected by symptomatic bladder endometriosis at the University Hospitals of Cagliari, Padua, and Foggia. In all patients bladder nodule was excised with a transurethral and laparoscopic combined approach technique. Intensity of lower urinary tract symptoms (VAS score) were assessed pre- and post-operatively at one, six, and 12 months after surgery; quality of life (SF-36) and sexual functions (FSFI) were collected preoperatively and one year postoperatively. Operative time was 120.18 ± 15.77 minutes and mean blood loss was 65.12 ± 44.74. No intraoperative and postoperative complications and conversion laparotomy occurred. Intensity of lower urinary tract symptoms evaluated with VAS score were significantly lower after one, six, and 12 months postsurgery vs. presurgery (p < 0.001). The authors observed a significantly improvement in the quality of life and sexual functions in all patients at one year after surgery. This surgical approach is safe and simple in the treatment of bladder endometriosis, with low risks and optimal resolution of symptoms, and improvement of quality of life and sexual function.
Key words:  Bladder endometriosis      Quality of life      Sexual function      Pain control     
Published:  10 December 2016     
*Corresponding Author(s):  S. ANGIONI     E-mail:  sangioni@yahoo.it

Cite this article: 

A. Pontis, L. Nappi, F. Sedda, F. Multinu, P. Litta, S. Angioni. Management of bladder endometriosis with combined transurethral and laparoscopic approach.Follow-up of pain control, quality of life, and sexual function at 12 months after surgery. Clinical and Experimental Obstetrics & Gynecology, 2016, 43(6): 836-839.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3367.2016     OR     https://ceog.imrpress.com/EN/Y2016/V43/I6/836

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