[Deep pelvic endometriosis: management and proposal for a "surgical classification"].
Deep pelvic endometriosis presents essentially in the form of a painful syndrome dominated by deep dyspareunia and painful functional symptoms that recur according to the menstrual cycle, with the semiology directly correlated with the location of the lesions (bladder, rectum). It is essential to investigate these deep endometriosis lesions and draw up a precise map, which is the only way to be sure that exeresis will be complete. The treatment of first intention remains surgery, and medical treatment is only palliative in the majority of cases. Success of treatment depends on how radical surgical exeresis is. Based on analysis of the anatomical distribution of deep pelvic endometriosis lesions, a "surgical classification" is proposed with the aim of establishing standard modes for surgical treatment. Further studies are required to clarify the place and modes for pre- and postoperative medical treatment.
Chapron
C
C
Service de gynécologie obstétrique II, unité de chirurgie gynécologique, clinique universitaire Baudelocque, CHU Cochin-Saint-Vincent-de-Paul, 123, boulevard de Port-Royal, 75014 Paris, France. charles.chapron@cch.ap-hop-paris.fr
Dubuisson
J B
JB
Chopin
N
N
Foulot
H
H
Jacob
S
S
Vieira
M
M
Barakat
H
H
Fauconnier
A
A
D000291:Adnexal Diseases / Q000145:classification / Q000473:pathology* / Q000601:surgery*; D000328:Adult; D004414:Dyspareunia / Q000209:etiology; D004715:Endometriosis / Q000145:classification / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D017699:Pelvic Pain / Q000209:etiology; D019990:Perioperative Care / Q000592:standards; D013577:Syndrome; D016896:Treatment Outcome