title: [Importance of nerve-sparing surgical technique in the treatment of deep infiltrating endometriosis].
abstract: BACKGROUND
  Traditional surgeries performed in cases of deep infiltrating endometriosis lead to impaired quality of life.
  
  
  OBJECTIVE
  To summarize the postoperative outcome and to compare the rate of postoperative complications after different therapeutic approaches applied in deep infiltrating endometriosis.
  
  
  METHODS
  The authors analized the articles published between March 31, 2004 and March 31, 2015, in the database http://www.pubmed.org using the following keywords: endometriosis, deep infiltrating, nerve sparing, surgery.
  
  
  RESULTS
  Non-nerve sparing surgery resulted in temporary urinary dysfunction in 19.1-38.5% of patients, while it occurred in 0.61-33.3% of patients after nerve-sparing surgery. Non-nerve sparing surgical technique resulted in an average of 121 days of need for self-catheretisation. When nerve-sparing surgeries were performed the duration of self-catheterisation varied between 7 to 39.8 days. After nerve sparing surgeries, permanent bladder dysfunction was not detected in any case.
  
  
  CONCLUSIONS
  Because of the successful treatment of the patients symptoms and the lower postoperative complication rate, nerve-sparing surgical technique leads to a significant improvement of the quality of life.
authors.affiliation: I. Szülészeti és Nőgyógyászati Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Baross u. 27., 1085.
authors.forename: Attila
authors.initials: A
authors.lastname: Bokor
authors.affiliation: I. Szülészeti és Nőgyógyászati Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Baross u. 27., 1085.
authors.forename: Noémi
authors.initials: N
authors.lastname: Csibi
authors.affiliation: I. Sebészeti Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.
authors.forename: Péter
authors.initials: P
authors.lastname: Lukovich
authors.affiliation: I. Szülészeti és Nőgyógyászati Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Baross u. 27., 1085.
authors.forename: Réka
authors.initials: R
authors.lastname: Brubel
authors.affiliation: I. Szülészeti és Nőgyógyászati Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Baross u. 27., 1085.
authors.forename: József Gábor
authors.initials: JG
authors.lastname: Joó
authors.affiliation: I. Szülészeti és Nőgyógyászati Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Baross u. 27., 1085.
authors.forename: János
authors.initials: J
authors.lastname: Rigó
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000473:pathology* / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D057928:Intermittent Urethral Catheterization / Q000706:statistics & numerical data; D008875:Middle Aged; D059351:Organ Sparing Treatments; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011788:Quality of Life; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000294:innervation* / Q000503:physiopathology; D014554:Urination
keywords: endometriosis; laparoscopic surgery; műtét; neurogenic bladder dysfunction; neurogén húgyhólyag-diszfunkció; nőgyógyászat