ArticleFacts, views & vision in ObGyn2026
Postoperative and long-term outcomes of nerve-sparing segmental rectal resection and complete nodular resection of rectal endometriosis.
Article in Facts, views & vision in ObGyn, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Rectal Shaving in Colorectal Endometriosis Surgery-Definition, Evidence and Variability.Journal of clinical medicine · 2026Review
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Authors and funding
9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background: Rectal endometriosis is a severe form of deep endometriosis affecting up to 12% of patients, causing significant pain and bowel dysfunction. The optimal surgical approach can be individually tailored based on lesion size and localization as assessed by preoperative imaging. Objectives: To compare the postoperative and long-term clinical results of two alternative surgical approaches to symptomatic rectal endometriosis. Methods: A retrospective single-centre study of 115 patients who had surgical resection of rectal endometriosis either by complete nodular resection (CNR) (n=55) or segmental rectal resection (SRR) (n=60). The surgical approach was indicated based on #Enzian related presurgical transvaginal sonography. #Enzian C1-2 lesions were planned for CNR, and #Enzian C3 lesion for SRR. Postoperative pain and satisfaction data were collected. Main Outcome Measures: Satisfaction and change in pre-operative and post-operative pain symptoms and overall improvement in symptoms, urinary and bowel dysfunction measured at follow-up and complications following surgery. Results: 68/115 (59%) women provided follow up data. There were significant reductions in dysmenorrhoea, dyspareunia and dyschezia following surgical resection compared to pre-operative levels in both groups ( Conclusions: CNR and SRR are both safe and effective in treating symptomatic rectal endometriosis. CNR may be associated with lower postoperative defecation dysfunction rates and lower postoperative CRP levels. What is New?: Complete nodular mucosa-sparing resection of rectal endometriosis seems to be feasible and potentially efficacious in lesions up to 3 cm. Compared to SRR, CNR may be associated with less post-operative defecation dysfunction.
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