Conservative approach to rectosigmoid endometriosis: a cohort study

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INTRODUCTION: The aim of the study was to assess the risk of surgery after initial conservative treatment of rectosigmoid endometriosis in relation to demographic data.

MATERIAL AND METHODS: The study was conducted on the tertiary endometriosis referral unit, Aarhus University Hospital. Medical records, from patients seen from January 2009 onwards with a diagnosis of rectosigmoid endometriosis and more than six months' follow-up were audited. Demographic data, results of magnetic resonance imaging and time to secondary surgery for rectosigmoid endometriosis were registered.

RESULTS: Data on 238 patients diagnosed with rectosigmoid endometriosis were included. 78 (32.8%) patients had primary surgery, 27 (11.3%) had secondary surgery and 133 (55.9%) patients continued conservative treatment throughout the observation period. Patients who underwent primary or secondary surgery were younger, than patients continuing conservative treatment.

CONCLUSIONS: In a tertiary referral center where about half of patients with rectosigmoid endometriosis were scheduled for conservative treatment more than eighty percent of these avoided surgery. This article is protected by copyright. All rights reserved.

Original languageEnglish
JournalActa Obstetricia et Gynecologica Scandinavica
Volume96
Issue6
Pages (from-to)745-750
Number of pages6
ISSN0001-6349
DOIs
Publication statusPublished - Jun 2017

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