title: Prevalence and outcome of urinary retention after laparoscopic surgery for severe endometriosis--does histology provide answers?
abstract: OBJECTIVE
  Urinary retention after radical laparoscopic surgery for severe endometriosis is a clinically relevant complication. We hypothesized a relationship between the amount of resected nerves and the occurrence of urinary retention.
  
  
  METHODS
  We evaluated, retrospectively, a cohort of 221 patients. The expression of nerves in the resected specimens was investigated in patients with urinary retention and matched controls using standardized immunohistochemistry techniques.
  
  
  RESULTS
  The prevalence of urinary retention was 4.6% (n = 10). Importantly, there was no difference between cases and controls regarding the quantity of nerves in the resected specimens. The cumulative probability of 50% to overcome urinary retention was reached after 5.6 months. Age was the main risk factor for persistent retention (40.3 years with vs. 31.6 years without, p = 0.01).
  
  
  CONCLUSIONS
  In older endometriosis patients, surgical radicality should be balanced against preservation of organ function. There is a fairly good chance to recover, even after 6 months, which is important for patient counseling.
authors: Department of Gynecologic Surgery, Strasbourg University Hospital Hautepierre and CMCO, IRCAD/EITS, 1, Place de l' Hopital, 67091 Strasbourg, France. boris.gabriel@uniklinik-freiburg.de
authors: Boris
authors: B
authors: Gabriel
authors: Joseph
authors: J
authors: Nassif
authors: Pantelis
authors: P
authors: Trompoukis
authors: Ana Maria
authors: AM
authors: Lima
authors: Sonia
authors: S
authors: Barata
authors: Gerlinde
authors: G
authors: Lang-Avérous
authors: Arnaud
authors: A
authors: Wattiez
mesh_terms: D000328:Adult; D000367:Age Factors; D017776:Autonomic Pathways / Q000293:injuries* / Q000473:pathology; D004715:Endometriosis / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D053208:Kaplan-Meier Estimate; D010535:Laparoscopy / Q000009:adverse effects*; D015995:Prevalence; D011336:Probability; D012189:Retrospective Studies; D013997:Time Factors; D016055:Urinary Retention / Q000453:epidemiology* / Q000209:etiology; D014563:Urodynamics