J Gynecol Obstet Hum Reprod
September 2020
Introduction: The aim of our study is to describe MRI appearance of a posterior rectal pouch (PRP) for patients managed for low rectal endometriosis by large full-thickness disc excision and to assess its relationship with postoperative functional digestive symptoms.
Material And Methods: Single center retrospective study including patients managed by low/mid rectal disc excision using a semi-circular stapler (the Rouen technique) from June 2009 to October 2016. Intraoperative findings and data provided by standardized gastrointestinal self-questionnaires (GIQLI, KESS, Wexner and Bristol), before and 1 year after the surgery, were prospectively recorded.
Study Question: What is the risk of progression of deep endometriotic nodules infiltrating the rectosigmoid?
Summary Answer: There is a risk of progression of deep endometriotic nodules infiltrating the rectosigmoid, particularly in menstruating women.
What Is Known Already: Currently, there is a lack of acceptance in the literature on the probability that deeply infiltrating rectosigmoid endometriotic nodules progress in size.
Study Design, Size, Duration: We conducted a monocentric case-control study between September 2016 and March 2018 at Rouen University Hospital.