title: Laparoscopic excision of endometriosis may require unilateral parametrectomy.
abstract: OBJECTIVE
  We investigated the effects of laparoscopic excision of endometriosis with unilateral parametrectomy on bladder, rectal, and sexual function as well as patient satisfaction.
  
  
  METHODS
  Women who underwent this procedure between February 1, 2006 and November 15, 2007 were enrolled. Patient characteristics, pre- and postoperative findings, and follow-up data were retrospectively collected from a computerized database.
  
  
  RESULTS
  Twelve patients were enrolled in the study. All of the symptoms except dysuria improved after surgery, worsening long after the operation. It seems that all parameters including sexuality, micturition, and defecation are equally important in regards to the final judgement of satisfaction, with a trend towards amelioration long after the operation.
  
  
  CONCLUSIONS
  Unilateral parametrectomy may offer successful results in terms of patient satisfaction despite some impairment in bladder, bowel, and sexual function. The risk of permanent functional impairment is high; therefore, surgeons need to maintain the integrity of the contralateral nerve pathway. This is highly important, because pain relief seems to be partially involved in the final judgement of postoperation satisfaction.
authors.affiliation: Department of Obstetrics and Gynecology, Ospedale Sacro Cuore, Verona, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Landi
authors.forename: L
authors.initials: L
authors.lastname: Mereu
authors.forename: U
authors.initials: U
authors.lastname: Indraccolo
authors.forename: R
authors.initials: R
authors.lastname: Favero
authors.forename: A
authors.initials: A
authors.lastname: Fiaccavento
authors.forename: R
authors.initials: R
authors.lastname: Zaccoletti
authors.forename: R
authors.initials: R
authors.lastname: Clarizia
authors.forename: F
authors.initials: F
authors.lastname: Barbieri
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000601:surgery*; D004717:Endometrium / Q000294:innervation* / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D017060:Patient Satisfaction; D011183:Postoperative Complications; D012086:Reoperation; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D016896:Treatment Outcome