Medium to long-term gastrointestinal outcomes following disc resection of the rectum for treatment of endometriosis using a validated scoring questionnaire.
OBJECTIVE
To assess the gastrointestinal functional outcomes and symptoms of low anterior resection syndrome after disc resection for deeply infiltrative endometriosis (DIE) using a validated scoring system.


METHODS
Retrospective study to assess the gastrointestinal functional outcomes after rectal disc resection for DIE using a validated scoring system.


METHODS
University tertiary referral centre.


METHODS
Women who underwent disc resection for endometriosis at Royal Hospital for Women and Prince of Wales Private Hospital between January 2012 and December 2013 were included.


METHODS
Low anterior resection syndrome (LARS) score using a validated questionnaire.


RESULTS
Forty-one women met the inclusion criteria. The mean age was 40 ± 10 years (range 22-75 years). All procedures were performed laparoscopically. Eleven women (27%) underwent a hysterectomy in addition to rectal disc resection and endometriosis surgery. Mean operative time for the entire cohort was 158 ± 64 minutes, and mean length of hospital stay was 5 ± 2 days. Completed questionnaires were received from 31 women, a response rate of 76%. The mean length of follow-up was 17 ± 10 months (range 3-34 months). The LARS scores ranged from 0 to 34 (median 15, interquartile range 0-24). Eight women (26%) had a LARS score of 0. Nineteen women (61%) had a LARS score less than 21 (the threshold for LARS).


CONCLUSIONS
Conservative treatment of DIE with rectal disc resection is safe and feasible and is associated with mild gastrointestinal dysfunction in the medium to long term.
Department of Surgery, Prince of Wales Private Hospital, Randwick, New South Wales, Australia.
Ada
A
Ng
Department of Surgery, Prince of Wales Private Hospital, Randwick, New South Wales, Australia.|University of New South Wales, Sydney, New South Wales, Australia.
Phillip
P
Yang
Department of Surgery, Prince of Wales Private Hospital, Randwick, New South Wales, Australia.|University of New South Wales, Sydney, New South Wales, Australia.
Shing
S
Wong
Royal Hospital for Women, Randwick, New South Wales, Australia.|Department of Gynaecology, Prince of Wales Private Hospital, Randwick, New South Wales, Australia.|University of New South Wales, Sydney, New South Wales, Australia.
Thierry
T
Vancaillie
Royal Hospital for Women, Randwick, New South Wales, Australia.|Department of Gynaecology, Prince of Wales Private Hospital, Randwick, New South Wales, Australia.
Surya
S
Krishnan
D000328:Adult; D000368:Aged; D003248:Constipation / Q000209:etiology; D003672:Defecation; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000503:physiopathology; D012002:Rectal Diseases / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors; D055815:Young Adult
disc resection; endometriosis; outcomes