ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2022
Impact of nerve-sparing posterolateral parametrial excision for deep infiltrating endometriosis on postoperative bowel, urinary, and sexual function.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Robotic assisted versus laparoscopic surgery for deep endometriosis: a meta-analysis of current evidence.Journal of robotic surgery · 2024Pooled it
- Measurement properties of sexual function assessment questionnaires in women with endometriosis: A systematic review following COSMIN guidelines.Acta obstetricia et gynecologica Scandinavica · 2024Pooled it
- Sexual Function of Patients with Deep Endometriosis after Surgical Treatment: A Systematic Review.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2023Pooled it
- Deep Dyspareunia One Year After Nerve-Sparing Endometriosis Surgery: An Observational Study Highlighting Undesirable Outcomes.Journal of personalized medicine · 2026Article
- Surgical outcomes according to the degree of parametrial dissection with hysterectomy for deep endometriosis.Facts, views & vision in ObGyn · 2026Article
- Comparative analysis of nerve-sparing modified radical hysterectomy for deep endometriosis using the da Vinci SP versus Xi systems.Journal of robotic surgery · 2026Article
- Central sensitization in women with endometriosis: a cross-sectional study.BMC women's health · 2026Observational
- Endometriosis and Reproductive Sparing Surgery: A Narrative Review and AGREE II-S-Based Evaluation of International Guidelines.Journal of clinical medicine · 2026Review
- Bladder dysfunction after advanced pelvic surgeries: neuropelveological strategies for prevention and management.Facts, views & vision in ObGyn · 2025Article
- Ureteral endometriosis post-hysterectomy for adenomyosis: a case report and literature review.BMC urology · 2025Review
- Longer operative times but equally safe - a propensity score-matched analysis for laparoscopic procedures in women with early-stage (r-ASRM I-II) endometriosis performed by gynecology residents compared to attending surgeons.BMC medical education · 2025Article
- Follow-up of bowel endometriosis resections performed using the double circular stapler technique: A decade's experience.PloS one · 2025Observational
- Risk factors for long-term urination and sexual function impairment following laparoscopic resection of presacral lesions.Heliyon · 2024Article
- Endometriosis and Adenomyosis: Modern Concepts of Their Clinical Outcomes, Treatment, and Management.Journal of clinical medicine · 2024Review
- Totally intracorporeal colorectal anastomosis (TICA) versus classical mini-laparotomy for specimen extraction, after segmental bowel resection for deep endometriosis: a single-center experience.Archives of gynecology and obstetrics · 2024Observational
- Pain after laparoscopic endometriosis-specific vs. hysterectomy surgeries: A retrospective cohort analysis.PloS one · 2024Article
- Applied anatomy of female pelvic plexus for nerve-sparing radical hysterectomy(NSRH).BMC women's health · 2023Article
- Segmental Rectum Resection for Deep Endometriosis and Excision Similarly Improve Sexual Function and Pain.Clinics and practice · 2023Article
- Endometriosis, infertility and occupational life: women's plea for recognition.BMC women's health · 2023Article
- Risk factors for recurrent endometriosis after conservative surgery in a quaternary care center in southern Thailand.PloS one · 2023Article
Corrections and comments
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Authors and funding
14 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the functional outcomes of nerve-sparing surgery for deep infiltrating endometriosis (DIE) with or without posterolateral parametrectomy.
methodsA multicenter, observational, retrospective, cohort study was performed including all symptomatic women who underwent nerve-sparing laparoscopic excision of DIE and preoperative and postoperative assessment of functional outcomes through validated questionnaires between April 2019 and March 2020. Women with posterolateral parametrial DIE (P-group) and women with no parametrial involvement (NP-group) were compared in terms of preoperative and postoperative functional outcomes related to pelvic organs assessed through validated questionnaires (KESS and GIQLI for bowel function, BFLUTS for urinary function, and FSFI for sexual function); pain symptoms at 3-month follow up assessed through an 11-point visual analogue scale (VAS) for dyschezia, dysmenorrhea, dyspareunia and chronic pelvic pain; surgical outcomes; and rate of urinary voiding dysfunction at 3-month follow up.
resultsOne-hundred patients were included: 69 in the P-group and 31 in the NP-group. Preoperative and postoperative values of questionnaires, pain symptoms, and postoperative complication rates were comparable between the two groups, except for postoperative dyspareunia and sexual dysfunction, which were statistically higher in the P-group. Only patients in the P-group experienced urinary voiding dysfunction, but no statistical significance was reached (P = 0.173).
conclusionPosterolateral parametrectomy for DIE appears to be associated with a higher risk of postoperative dyspareunia and sexual dysfunction.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.