Observational studyInternational urogynecology journal2016
Bladder symptoms and urodynamic observations of patients with endometriosis confirmed by laparoscopy.
Observational study in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 40 citations in OpenAlex.
- Pathophysiological Mechanisms and Clinical Implications of Lower Urinary Tract Symptoms in Patients with Deep Endometriosis: A Narrative Review.International urogynecology journal · 2026Review
- Prevalence and Impact of Pelvic Floor Dysfunction in a Large Cohort of Patients with Endometriosis: The Hidden Link.International urogynecology journal · 2026Article
- Surgical Management of Urinary-Symptom-Dominant Endometriosis: Addressing Persistent Voiding Dysfunction and Pelvic Floor Factors.International urogynecology journal · 2026Review
- Bladder dysfunction after advanced pelvic surgeries: neuropelveological strategies for prevention and management.Facts, views & vision in ObGyn · 2025Article
- Lower Urinary Tract Dysfunction Among Patients Undergoing Surgery for Deep Infiltrating Endometriosis: A Prospective Cohort Study.Journal of clinical medicine · 2024Article
- Impact of deep resection of endometriosis in the pelvis on urodynamic parameters.Acta cirurgica brasileira · 2023Observational
- Sacral neuromodulation to treat voiding dysfunction in patients with previous pelvic surgery for deep infiltrating endometriosis: our centre's experience.International urogynecology journal · 2021Article
- Endometriosis of the vesico-vaginal septum: a rare and unusual localization (case report).BMC women's health · 2020Article
- Pelvic floor dysfunction at transperineal ultrasound and voiding alteration in women with posterior deep endometriosis.International urogynecology journal · 2019Article
- Urodynamic observations and lower urinary tract symptoms associated with endometriosis: a prospective cross-sectional observational study assessing women with deep infiltrating disease.International urogynecology journal · 2018Observational
- Pathophysiology and management of urinary tract endometriosis.Nature reviews. Urology · 2017Review
- Comprehensive endometriosis care: a modern multimodal approach for the treatment of pelvic pain and endometriosis.Therapeutic advances in reproductive healthReview
- Effect of Anterior Compartment Endometriosis Excision on Infertility.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- Laparoscopic excision of bladder peritoneal endometriosis.Gynecology and minimally invasive therapyArticle
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisPatients with deep infiltrating pelvic endometriosis (DIE) often describe having lower urinary tract symptoms (LUTS). Bladder pain syndrome in women is also often associated with endometriosis. In this study, we aimed to describe the characteristics of LUTS and urodynamic observations in patients with posterior endometriosis versus those with posterior and anterior endometriosis.
methodsThis was a prospective observational study of 30 patients from two gynecologic surgical settings with experience in DIE surgery. All patients underwent preoperative standardized investigation including detailed evaluation of LUTS and urodynamic studies. During surgery, endometriosis locations were recorded and correlated to symptoms and urodynamic observations.
resultsTwenty-three patients (76.7 %) had one or more LUTS symptoms and 29 (96.7 %) had one or more abnormalities at urodynamic examination. At surgery, all patients had posterior endometriosis and ten of them also had anterior endometriosis. Patients with anterior endometriosis had increased bladder sensation (90.0 % versus 45.0 %, p = 0.024) and painful bladder filling (70.0 % versus 30.0, p = 0.04) compared with patients with posterior endometriosis only. Voiding symptoms (60.0 %), impairment of flowmetry (30.0 %), and increased maximum urethral closure pressure (90.0 %) were frequent and not correlated with any specific location.
conclusionsEndometriosis infiltrating the bladder wall is associated with painful bladder symptoms. Dysfunctional voiding suggests an impairment of the inferior hypogastric plexus by posterior DIE. Clinical preoperative evaluation of bladder function should be systematic; urodynamic tests could be of interest in selected patients with DIE. Endometriosis may be a major cause of bladder pain syndrome.
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