title: Partial colpectomy is a risk factor for urologic complications of colorectal resection for endometriosis.
abstract: OBJECTIVE
  To evaluate urologic complications after colorectal resection for endometriosis.
  
  
  METHODS
  Cohort study (Canadian Task Force classification II-2).
  
  
  METHODS
  Tertiary referral university hospital and expert center in endometriosis.
  
  
  METHODS
  One hundred sixty-six women with colorectal endometriosis proven by transvaginal sonography and magnetic resonance imaging.
  
  
  METHODS
  Open or laparoscopic colorectal resection for endometriosis.
  
  
  RESULTS
  Forty-four patients (26.5%) experienced at least 1 urologic complication, including infection. Eight patients (4.8%) experienced postoperative symptomatic hydronephrosis requiring ureteral stent in 3 cases, a percutaneous nephrostomy in 1 case, and expectant management for the last 4. Urologic fistulas occurred in 5 patients (3%). Postoperative voiding dysfunction requiring self-catheterization was observed in 48 patients (28.9%). With univariate analysis, a relationship was found between voiding dysfunction and partial colpectomy (p = .001) and American Society of Reproductive Medicine total score (p = .02), and between the occurrence of urinary fistula and the use of prophylactic ureteral catheterization (p = .015) and parametrectomy (p = .02). A relationship was found between postoperative symptomatic hydronephrosis and the use of prophylactic ureteral catheterization (p = .003).
  
  
  CONCLUSIONS
  Colorectal resection for endometriosis can lead to urologic complications, particularly for patients requiring partial colpectomy, of which patients need to be informed.
authors.affiliation: Service de Gynécologie-Obstétrique, Hôpital Tenon, Paris, France.
authors.forename: Sonia
authors.initials: S
authors.lastname: Zilberman
authors.forename: Marcos
authors.initials: M
authors.lastname: Ballester
authors.forename: Cyril
authors.initials: C
authors.lastname: Touboul
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Chéreau
authors.forename: Philippe
authors.initials: P
authors.lastname: Sèbe
authors.forename: Marc
authors.initials: M
authors.lastname: Bazot
authors.forename: Emile
authors.initials: E
authors.lastname: Daraï
mesh_terms: D000328:Adult; D015331:Cohort Studies; D004715:Endometriosis / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D012307:Risk Factors; D014463:Ultrasonography; D014570:Urologic Diseases / Q000209:etiology* / Q000628:therapy; D014623:Vaginal Diseases / Q000175:diagnosis / Q000601:surgery*; D055815:Young Adult