To evaluate the impact of deep endometriosis (DE) on bladder function, focusing on detrusor pattern, in patients without preoperative urinary symptoms.Prospective study.Academic research center.A total of 25 asymptomatic patients: 12 patients with DE (group 1) and 13 patients with ovarian endometriosis (group 2, control group).Preoperative urodynamic evaluation.The impact of DE on urodynamic parameters.For the first time, a urodynamic diagnosis of detrusor overactivity was correlated with the presence of deep infiltrating endometriosis (group 1, 91.7\% [11/12] vs. group 2, 7.7\% [1/13]). All involuntary detrusor contractions were detected only during the filling phase. All cystometry parameters were found to be altered in group 1 and statistically different between the two groups. No pressure/flow study parameter significantly differed between the two groups, besides maximal detrusor pressure (46 cmH2O [33-79] vs. 29 cmH2O [15-40]), which was significantly higher in group 1. Therefore, all detrusor-related parameters are statistically different between the two groups. Postvoid residual does not reach a statistically significant difference.DE could significantly impair detrusor functions. A preoperative urodynamic evaluation allows the attainment of important functional information, even in asymptomatic patients.

Deep endometriosis and bladder and detrusor functions in women without urinary symptoms: a pilot study through an unexplored world.

SERATI, MAURIZIO;CROMI, ANTONELLA;GHEZZI, FABIO
2013-01-01

Abstract

To evaluate the impact of deep endometriosis (DE) on bladder function, focusing on detrusor pattern, in patients without preoperative urinary symptoms.Prospective study.Academic research center.A total of 25 asymptomatic patients: 12 patients with DE (group 1) and 13 patients with ovarian endometriosis (group 2, control group).Preoperative urodynamic evaluation.The impact of DE on urodynamic parameters.For the first time, a urodynamic diagnosis of detrusor overactivity was correlated with the presence of deep infiltrating endometriosis (group 1, 91.7\% [11/12] vs. group 2, 7.7\% [1/13]). All involuntary detrusor contractions were detected only during the filling phase. All cystometry parameters were found to be altered in group 1 and statistically different between the two groups. No pressure/flow study parameter significantly differed between the two groups, besides maximal detrusor pressure (46 cmH2O [33-79] vs. 29 cmH2O [15-40]), which was significantly higher in group 1. Therefore, all detrusor-related parameters are statistically different between the two groups. Postvoid residual does not reach a statistically significant difference.DE could significantly impair detrusor functions. A preoperative urodynamic evaluation allows the attainment of important functional information, even in asymptomatic patients.
http://dx.doi.org/10.1016/j.fertnstert.2013.06.044
Adult, Case-Control Studies, Endometriosis; complications/diagnosis/surgery, Female, Humans, Ovarian Diseases; complications/diagnosis/surgery, Pilot Projects, Predictive Value of Tests, Preoperative Care, Pressure, Prospective Studies, Retroperitoneal Space, Risk Factors, Urinary Bladder; Overactive; diagnosis/etiology/physiopathology, Urinary Bladder; physiopathology, Urodynamics, Young Adult
Serati, Maurizio; E., Cattoni; A., Braga; S., Uccella; Cromi, Antonella; Ghezzi, Fabio
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11383/1879128
Citazioni
  • ???jsp.display-item.citation.pmc??? 2
  • Scopus 19
  • ???jsp.display-item.citation.isi??? 22
social impact