title: Strategies for Management of Colorectal Endometriosis.
abstract: Endometriosis has clearly three distinct clinical presentations and deep endometriosis, especially compromising the rectosigmoid is probably the most concerning one for both patients and surgeons. Currently, with the available tools, it is mandatory to have a precise diagnostic of this type of disease prior to indication of treatment. Strategies to manage this form of endometriosis will take into account several involved aspects, such as age of the patient, reproductive desire or infertility, clinical symptoms, as well as the extension and localization of the disease. Treatment could vary from more conservative to more radical depending on those aspects. As we pointed out in this article, the key to manage colorectal endometriosis is to start with a good diagnosis. Knowing exactly what is the extension and localization of the disease and knowing the patient's wishes as well as the clinical complaints, surgeons are able to define the best option for each patient. Critical points should always be discussed; for example, patients chosen to have clinical treatment should be aware of important issues regarding the follow-up, while patients undergoing surgery must be advised about all surgical possibilities and related complications.
authors.affiliation: Endometriosis Division, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Sao Paulo, Sao Paulo, Brazil.
authors.forename: Mauricio Simões
authors.initials: MS
authors.lastname: Abrão
authors.affiliation: Endometriosis Division, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Sao Paulo, Sao Paulo, Brazil.
authors.forename: Giuliano Moysés
authors.initials: GM
authors.lastname: Borrelli
authors.affiliation: Department of Obstetrics and Gynecology, Gynecologic Oncology and Minimally Invasive Pelvic Surgery, International School of Surgical Anatomy, Sacred Heart Hospital, Negrar (Verona), Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Clarizia
authors.affiliation: Women's Health Institute, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Rosanne Marie
authors.initials: RM
authors.lastname: Kho
authors.affiliation: Department of Obstetrics and Gynecology, Gynecologic Oncology and Minimally Invasive Pelvic Surgery, International School of Surgical Anatomy, Sacred Heart Hospital, Negrar (Verona), Italy.
authors.forename: Marcello
authors.initials: M
authors.lastname: Ceccaroni
mesh_terms: D003108:Colonic Diseases / Q000175:diagnosis / Q000628:therapy*; D003278:Contraceptives, Oral, Hormonal / Q000009:adverse effects / Q000627:therapeutic use*; D013505:Digestive System Surgical Procedures / Q000009:adverse effects; D018450:Disease Progression; D004715:Endometriosis / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D011237:Predictive Value of Tests; D012002:Rectal Diseases / Q000175:diagnosis / Q000628:therapy*; D012307:Risk Factors; D016896:Treatment Outcome
chemical_list: D003278:Contraceptives, Oral, Hormonal