Retrocervical Deep Infiltrating Endometriotic Lesions Larger Than 30mm Are Associated With An Increased Rate Of Ureteral Involvement

Retrocervical Deep Infiltrating Endometriotic Lesions Larger Than 30mm Are Associated With An Increased Rate Of Ureteral Involvement

Journal of Minimally Invasive Gynecology

William Kondo - Anibal Wood Branco - Carlos Henrique Trippia - Reitan Ribeiro - Monica Tessmann Zomer

Study Objective: To estimate the presence of ureteral involvement in deep infiltrating endometriosis (DIE) affecting the retrocervical area
Design: Retrospective study of women undergoing laparoscopic treatment of DIE affecting the retrocervical area
Design Classification: Canadian Task Force classification II-3
Setting: Tertiary referral private hospital
Patients: We evaluated 118 women who underwent laparoscopy for the treatment of retrocervical DIE lesions between January 2010 and March 2012.
Interventions: All women underwent laparoscopic surgery for the complete treatment of DIE. After surgery all specimens were sent for pathologic examination to confirm the presence of endometriosis.
Measurements: Patients with pathologically-confirmed retrocervical DIE were divided into 2 groups according to the size of the lesion (group 1: lesions ≥ 30mm; group 2: lesions < 30mm) and the rate of ureteral endometriosis was compared between both groups.
Main Results: Ureteral involvement was present in 17.9% (95% CI 10 to 29.9%) of women with retrocervical lesions ≥30mm whereas in only 1.6% (95% CI 0.4 to 8.5%) of those with lesions <30mm [OR = 13.3 (95% CI 1.6 to 107.3)].
Conclusion: Patients undergoing surgery for retrocervical DIE lesions ≥30mm in diameter have a greater risk of having ureteral involvement (17.9%).  



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