外科ジャーナル

Quality of Life Improvement after Surgery for Deep Infiltrating Endometriosis (DIE)

Abstract

Voicu Simedrea, Mădălin-Marius Margan, Iris Cioroianu, Raul Pătrașcu, Andrei Mărginean and Roxana Nicolescu

Endometriosis is categorized as one of the chronic benign gynecologic diseases, which causes pelvic pain and infertility, affecting almost 10% of reproductive-age women. Deeply infiltrating endometriosis (DIE) is a specific entity of endometriosis, responsible for painful symptoms, which are related to the anatomic location of the lesions. In this paper, we aim to review the current literature regarding the post-surgery quality of life improvement for DIE. Irrespective of its low sensitivity and specificity, vaginal examination and evaluation of specific symptoms should be emphasized as a basic diagnostic tool in detecting endometriosis. This will help in planning further DIE related therapeutic interventions. Out of several, transvaginal ultrasound (TVUS) has been reported as one of the widely used and excellent tools to diagnose DIE lesions in different locations (rectovaginal septum, retrocervical and paracervical areas, rectum and sigmoid and vesical wall).