OBJECTIVE To evaluate the efficacy of discoid resection for the treatment of deep infiltrating endometriosis and whether it could be considered to be a valid alternative to the rectosigmoid segmental resection. DESIGN Case-control study. SETTING Departments of Obstetrics and Gynecology, Ospedale Sacro Cuore of Negrar, Verona, and Catholic University of the Sacred Heart, Rome, Italy. PATIE...

Originally described already more than 300 years ago endometriosis is an estrogen-dependent, chronic, inflammatory disease prevalent worldwide in 10–30% of women of reproductive age and beyond. Characterized by the growth of endometrium-like tissue in aberrant locations outside of the uterus, it is responsible for symptoms including chronic pelvic pain, inflammation, dysmenorrhea, dyspareunia, ...

Introduction: Reduced fertility is a major concern in women with endometriosis. The influence of surgery of deep infiltrating endometriosis (DIE) affecting the bowel wall on fertility is controversial and the literature on this field is heterogenous. In this review we addressed if surgery for bowel DIE improves spontaneous pregnancy rate and results of in vitro fertilization (IVF), and the pote...

Endometriosis is an enigmatic disease affecting 10-15% of reproductive aged women and is encountered in 25-35% of women suffering from infertility. IVF is an effective tool to overcome endometriosis-associated infertility when expectant management or surgery fails. Direct IVF should be envisioned if the female age is greater than 38 year and infertility is long lasting. Likewise, semen characte...

location of deep infiltrating endometriosis Fertil Steril 2002; 78: 719–726. 6 Porpora MG, Koninckx PR, Piazze J, Colagrande S, Cosmi EV. Correlation between endometriosis and pelvic pain. J Am Assoc Gynecol Laparosc 1999; 6: 429–434. 7 Vercellini P. Endometriosis: what a pain it is. Semin Reprod Endocrinol 1997; 13: 251–261. 8 Momoeda M, Taketani Y, Terakawa N, Hoshiai H, Tanaka K, Tsutsumi O,...

Introduction: Endometriosis is a chronic peritoneal disease that may progress as a deep infiltrating lesion involving the posterior compartment of the pelvis. Efforts to improve pre-operative knowledge of the location and extent of these lesions have resulted in the development of Transvaginal ultrasound (TVS) as the first-line imaging modality for extra-ovarian endometriosis. However, various ...

BACKGROUND This aim of this case report is to raise awareness of ureteral endometriosis in women of reproductive age with hydronephrosis in the absence of urolithiasis to enable early diagnosis and prevent loss of renal function. CASE PRESENTATION A 44-year-old Asian woman presented with a 4-year history of cyclic right flank pain and right hydronephrosis during menstruation. Despite several ...

Endometriosis is the presence of endometrial glands as well as stroma at the locations outside uterus. It affects up to 10% of women. Grossly there are three forms of the disease, namely a) superficial endometrial implants, b) ovarian endometriomas or endometriotic cysts, and c) deep infiltrating endometriosis. All the three forms depict varied manifestation of a single disease and require a ca...