ReviewInternational urogynecology journal2026
Surgical Management of Urinary-Symptom-Dominant Endometriosis: Addressing Persistent Voiding Dysfunction and Pelvic Floor Factors.
Review in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Detransition, Posttraumatic Stress Disorder, and Moral Injury.Archives of sexual behavior · 2026Article
- A proposed anxiety-hypertonic pelvic floor axis in postpartum women: a narrative review of mechanistic links and rehabilitation implications.Frontiers in surgery · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisUrinary tract endometriosis (UTE) commonly presents with urinary urgency, frequency, retention, and hesitancy. Although surgical excision consistently improves storage symptoms postoperatively, voiding dysfunction often persists due to interactions between clearing lesions, potential neural injury, and pelvic floor dysfunction. Understanding these mechanisms is vital for optimizing outcomes and minimizing long-term morbidity.
methodsWe conducted a structured narrative review on surgical management of endometriosis with urinary symptom predominance in PubMed, Scopus, and Cochrane. We thematically synthesized studies on surgical techniques, urinary outcomes, pelvic floor dysfunction, and adjunct neuromodulation to provide insight into current practices, mechanistic understanding, and new approaches.
resultsInitially, 928 studies were identified, 798 titles and abstracts were screened after elimination of duplicates, and 63 studies were included after full text screening. Continued improvements in storage symptoms were seen regardless of surgical approach (partial cystectomy, bladder shaving, ureteral procedures) but up to 50% of patients experienced persistent voiding dysfunction. This was due to potential neural injury, fibrosis, and hypertonicity of the pelvic floor. Although nerve-sparing techniques had less dysfunction, they did not eliminate it. Adjuncts, including pelvic floor physiotherapy and neuromodulation, were supported as novel therapies. Advanced imaging techniques might improve risk stratification prior to surgery but prospective level evidence is lacking.
conclusionsThe significant proportion of patients with voiding dysfunction after UTE surgery indicates a need for multi-disciplinary pathways. In addition to lesion excision, co-management with pelvic floor rehabilitation, advanced imaging, and neuromodulation may optimize recovery. There are important priorities for the future, including standardized urodynamic outcomes and prospective study designs.
Indexed as
Identifiers
41432909What OpenQuestion holds
Registered trials
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.