Endometriosis and Vesico-Sphincteral Disorders
Identifieur interne : 000284 ( Main/Exploration ); précédent : 000283; suivant : 000285Endometriosis and Vesico-Sphincteral Disorders
Auteurs : Anis Fadhlaoui [Suisse, Tunisie] ; Tessa Gillon [Suisse] ; Issam Lebbi [Tunisie] ; Jean Bouquet De Jolinière [Suisse] ; Anis Feki [Suisse]Source :
- Frontiers in Surgery [ 2296-875X ] ; 2015.
Abstract
The aim of this mini review is to determine the relationship between endometriosis and urinary tract symptoms and to investigate the consequences of surgical treatment of mild to severe endometriosis, especially deep lesions, on the vesico-sphincteral function (lower urinary tract function).
We performed a literature review by searching the MEDLINE database for articles published between 2000 and 2014, limiting the searches to the words: urinary tract, vesico-sphincteral, dysfunction, endometriosis, symptoms, and surgery.
The incidence of vesico-sphincteral symptoms in endometriosis varies from 3.4 up to 15.4%. The frequency of such symptoms seems to be under estimated because of a lack of specific questionnaire including urinary symptoms. Urodynamic evaluation could help to detect unsuspected abnormalities. It seems that endometriosis surgery (particularly deep infiltrating lesions) is a purveyor of de novo urinary dysfunction, with an incidence varying from 6.8 up to 17.5%. Nerve sparing processes such as neuro-navigators or neuro-stimulators seem to be promising techniques to avoid postoperative urinary tract dysfunction.
A precise anamnesis and the use of specific validated questionnaires (IPSS and BFLUTS) improve the screening of vesico-sphincteral symptoms in case of endometriosis. No recommendation can be found in the literature about the place of urodynamic evaluation. Most publications lack of proof and therefore do not allow making recommendations about optimal treatment of endometriotic lesions to avoid urinary tract disorders.
Url:
DOI: 10.3389/fsurg.2015.00023
PubMed: 26157800
PubMed Central: 4476201
Affiliations:
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id="aff1"><institution>Service de Gynécologie Obstétrique, HFR Fribourg – Hôpital Cantonal</institution>,<addr-line>Fribourg</addr-line>,<country>Switzerland</country></nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Service de Gynécologie Obstetrique et de Médecine de la reproduction de l’Hôpital Aziza Othmana</institution>,<addr-line>Tunis</addr-line>,<country>Tunisia</country></nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Faculté de Médecine de Tunis</institution>,<addr-line>Tunis</addr-line>,<country>Tunisia</country></nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Gillon, Tessa" sort="Gillon, Tessa" uniqKey="Gillon T" first="Tessa" last="Gillon">Tessa Gillon</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Service de Gynécologie Obstétrique, HFR Fribourg – Hôpital Cantonal</institution>,<addr-line>Fribourg</addr-line>,<country>Switzerland</country></nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lebbi, Issam" sort="Lebbi, Issam" uniqKey="Lebbi I" first="Issam" last="Lebbi">Issam Lebbi</name><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Obstetric Gynecology and Fertility Private Clinic, Dream Center</institution>,<addr-line>Tunis</addr-line>,<country>Tunisia</country></nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Bouquet De Joliniere, Jean" sort="Bouquet De Joliniere, Jean" uniqKey="Bouquet De Joliniere J" first="Jean" last="Bouquet De Jolinière">Jean Bouquet De Jolinière</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Service de Gynécologie Obstétrique, HFR Fribourg – Hôpital Cantonal</institution>,<addr-line>Fribourg</addr-line>,<country>Switzerland</country></nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Feki, Anis" sort="Feki, Anis" uniqKey="Feki A" first="Anis" last="Feki">Anis Feki</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Service de Gynécologie Obstétrique, HFR Fribourg – Hôpital Cantonal</institution>,<addr-line>Fribourg</addr-line>,<country>Switzerland</country></nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Surgery</title><idno type="eISSN">2296-875X</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="ST1"><title>Objectives</title><p>The aim of this mini review is to determine the relationship between endometriosis and urinary tract symptoms and to investigate the consequences of surgical treatment of mild to severe endometriosis, especially deep lesions, on the vesico-sphincteral function (lower urinary tract function).</p></sec><sec id="ST2"><title>Materials and methods</title><p>We performed a literature review by searching the MEDLINE database for articles published between 2000 and 2014, limiting the searches to the words: urinary tract, vesico-sphincteral, dysfunction, endometriosis, symptoms, and surgery.</p></sec><sec id="ST3"><title>Results</title><p>The incidence of vesico-sphincteral symptoms in endometriosis varies from 3.4 up to 15.4%. The frequency of such symptoms seems to be under estimated because of a lack of specific questionnaire including urinary symptoms. Urodynamic evaluation could help to detect unsuspected abnormalities. It seems that endometriosis surgery (particularly deep infiltrating lesions) is a purveyor of de novo urinary dysfunction, with an incidence varying from 6.8 up to 17.5%. Nerve sparing processes such as neuro-navigators or neuro-stimulators seem to be promising techniques to avoid postoperative urinary tract dysfunction.</p></sec><sec id="ST4"><title>Conclusion</title><p>A precise anamnesis and the use of specific validated questionnaires (IPSS and BFLUTS) improve the screening of vesico-sphincteral symptoms in case of endometriosis. No recommendation can be found in the literature about the place of urodynamic evaluation. 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Montorsi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Hajhosseini, B" uniqKey="Hajhosseini B">B Hajhosseini</name></author><author><name sortKey="King, Lp" uniqKey="King L">LP King</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abu Hashim, H" uniqKey="Abu Hashim H">H Abu Hashim</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Suisse</li><li>Tunisie</li></country></list><tree><country name="Suisse"><noRegion><name sortKey="Fadhlaoui, Anis" sort="Fadhlaoui, Anis" uniqKey="Fadhlaoui A" first="Anis" last="Fadhlaoui">Anis Fadhlaoui</name></noRegion><name sortKey="Bouquet De Joliniere, Jean" sort="Bouquet De Joliniere, Jean" uniqKey="Bouquet De Joliniere J" first="Jean" last="Bouquet De Jolinière">Jean Bouquet De Jolinière</name><name sortKey="Feki, Anis" sort="Feki, Anis" uniqKey="Feki A" first="Anis" last="Feki">Anis Feki</name><name sortKey="Gillon, Tessa" sort="Gillon, Tessa" uniqKey="Gillon T" first="Tessa" last="Gillon">Tessa Gillon</name></country><country name="Tunisie"><noRegion><name sortKey="Fadhlaoui, Anis" sort="Fadhlaoui, Anis" uniqKey="Fadhlaoui A" first="Anis" last="Fadhlaoui">Anis Fadhlaoui</name></noRegion><name sortKey="Fadhlaoui, Anis" sort="Fadhlaoui, Anis" uniqKey="Fadhlaoui A" first="Anis" last="Fadhlaoui">Anis Fadhlaoui</name><name sortKey="Lebbi, Issam" sort="Lebbi, Issam" uniqKey="Lebbi I" first="Issam" last="Lebbi">Issam Lebbi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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