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International Urogynecology Journal

Erschienen in:

01.03.2016 | Original Article

Bladder symptoms and urodynamic observations of patients with endometriosis confirmed by laparoscopy

verfasst von: Pierre Panel, Cyrille Huchon, Sonia Estrade-Huchon, Arnaud Le Tohic, Xavier Fritel, Arnaud Fauconnier

Erschienen in: International Urogynecology Journal | Ausgabe 3/2016

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Abstract

Introduction and hypothesis

Patients with deep infiltrating pelvic endometriosis (DIE) often describe having lower urinary tract symptoms (LUTS). Bladder pain syndrome in women is also often associated with endometriosis. In this study, we aimed to describe the characteristics of LUTS and urodynamic observations in patients with posterior endometriosis versus those with posterior and anterior endometriosis.

Methods

This was a prospective observational study of 30 patients from two gynecologic surgical settings with experience in DIE surgery. All patients underwent preoperative standardized investigation including detailed evaluation of LUTS and urodynamic studies. During surgery, endometriosis locations were recorded and correlated to symptoms and urodynamic observations.

Results

Twenty-three patients (76.7 %) had one or more LUTS symptoms and 29 (96.7 %) had one or more abnormalities at urodynamic examination. At surgery, all patients had posterior endometriosis and ten of them also had anterior endometriosis. Patients with anterior endometriosis had increased bladder sensation (90.0 % versus 45.0 %, p = 0.024) and painful bladder filling (70.0 % versus 30.0, p = 0.04) compared with patients with posterior endometriosis only. Voiding symptoms (60.0 %), impairment of flowmetry (30.0 %), and increased maximum urethral closure pressure (90.0 %) were frequent and not correlated with any specific location.

Conclusions

Endometriosis infiltrating the bladder wall is associated with painful bladder symptoms. Dysfunctional voiding suggests an impairment of the inferior hypogastric plexus by posterior DIE. Clinical preoperative evaluation of bladder function should be systematic; urodynamic tests could be of interest in selected patients with DIE. Endometriosis may be a major cause of bladder pain syndrome.

Cramer DW, Missmer SA (2002) The epidemiology of endometriosis. Ann N Y Acad Sci 955:11–22, discussion 34-16, 396-406 CrossRefPubMed

Koninckx PR, Martin D (1994) Treatment of deeply infiltrating endometriosis. Curr Opin Obstet Gynecol 6(3):231–241CrossRefPubMed

Fauconnier A, Chapron C (2005) Endometriosis and pelvic pain: epidemiological evidence of the relationship and implications. Hum Reprod Update 11(6):595–606CrossRefPubMed

Chapron C, Fauconnier A, Vieira M, Barakat H, Dousset B, Pansini V, Vacher-Lavenu MC, Dubuisson JB (2003) Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification. Hum Reprod 18(1):157–161CrossRefPubMed

Volpi E, Ferrero A, Sismondi P (2004) Laparoscopic identification of pelvic nerves in patients with deep infiltrating endometriosis. Surg Endosc 18(7):1109–1112CrossRefPubMed

Ballester M, Chereau E, Dubernard G, Coutant C, Bazot M, Darai E (2011) Urinary dysfunction after colorectal resection for endometriosis: results of a prospective randomized trial comparing laparoscopy to open surgery. Am J Obstet Gynecol 204(4):303.e1–6. doi:10.1016/j.ajog.2010.11.011

Paulson JD, Delgado M (2007) The relationship between interstitial cystitis and endometriosis in patients with chronic pelvic pain. JSLS 11(2):175–181PubMedCentralPubMed

Renouvel F, Fauconnier A, Pilkington H, Panel P (2009) Linguistic adaptation of the endometriosis health profile 5: EHP 5. J Gynecol Obstet Biol Reprod (Paris) 38(5):404–410CrossRef

de Tayrac R, Deval B, Fernandez H, Mares P, Mapi Research I (2007) Development of a linguistically validated French version of two short-form, condition-specific quality of life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). J Gynecol Obstet Biol Reprod (Paris) 36(8):738–748. doi:10.1016/j.jgyn.2007.08.002 CrossRef

10.

Amarenco G, Kerdraon J, Perrigot M (1992) Echelle d’évaluation du handicap pelvien: mesure du handicap urinaire (MHU). In: Pelissier J, Costa P, Lopez S, Mares P (eds) Rééducation vésico-sphinctérienne et ano-rectale, vol 1. Masson, Paris, pp 498–504

11.

Haylen BT, Parys BT, Anyaegbunam WI, Ashby D, West CR (1990) Urine flow rates in male and female urodynamic patients compared with the Liverpool nomograms. Br J Urol 65(5):483–487CrossRefPubMed

12.

Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A (2002) The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21(2):167–178CrossRefPubMed

13.

Dompeyre P, Fritel X, Bader G, Delmas V, Fauconnier A (2007) Bladder sensitivity testing using a visual analogue scale: comparative cystometric study on women. Neurourol Urodyn 26(3):350–355. doi:10.1002/nau.20301 CrossRefPubMed

14.

Harris RL, Cundiff GW, Theofrastous JP, Bump RC (1996) Bladder compliance in neurologically intact women. Neurourol Urodyn 15(5):483–488CrossRefPubMed

15.

Hendriksson L, Andersson KE, Ulmsten U (1979) The urethral pressure profiles in continent and stress-incontinent women. Scand J Urol Nephrol 13(1):5–10CrossRefPubMed

16.

Wyndaele JJ, De Wachter S (2002) Cystometrical sensory data from a normal population: comparison of two groups of young healthy volunteers examined with 5 years interval. Eur Urol 42(1):34–38CrossRefPubMed

17.

Berkley KJ, Rapkin AJ, Papka RE (2005) The pains of endometriosis. Science 308(5728):1587–1589CrossRefPubMed

18.

Bonneau C, Zilberman S, Ballester M, Thomin A, Thomassin-Naggara I, Bazot M, Darai E (2013) Incidence of pre- and postoperative urinary dysfunction associated with deep infiltrating endometriosis: relevance of urodynamic tests and therapeutic implications. Minerva Ginecol 65(4):385–405PubMed

19.

de Lapasse C, Renouvel F, Chis C, Grosdemouge I, Panel P (2008) Urinary functional and urodynamic preoperative evaluation of patients with deep pelvic surgical endometriosis: about 12 cases. Gynecol Obstet Fertil 36(3):272–277CrossRefPubMed

20.

Serati M, Cattoni E, Braga A, Uccella S, Cromi A, Ghezzi F (2013) Deep endometriosis and bladder and detrusor functions in women without urinary symptoms: a pilot study through an unexplored world. Fertil Steril 100(5):1332–1336. doi:10.1016/j.fertnstert.2013.06.044 CrossRefPubMed

21.

Fedele L, Bianchi S, Carmignani L, Berlanda N, Fontana E, Frontino G (2007) Evaluation of a new questionnaire for the presurgical diagnosis of bladder endometriosis. Hum Reprod 22(10):2698–2701. doi:10.1093/humrep/dem236 CrossRefPubMed

22.

Hanno PM, Chapple CR, Cardozo LD (2009) Bladder pain syndrome/interstitial cystitis: a sense of urgency. World J Urol 27(6):717–721. doi:10.1007/s00345-009-0439-4 CrossRefPubMed

23.

Butrick CW (2007) Patients with chronic pelvic pain: endometriosis or interstitial cystitis/painful bladder syndrome? JSLS 11(2):182–189PubMedCentralPubMed

24.

Anaf V, Simon P, El Nakadi I, Fayt I, Buxant F, Simonart T, Peny MO, Noel JC (2000) Relationship between endometriotic foci and nerves in rectovaginal endometriotic nodules. Hum Reprod 15(8):1744–1750CrossRefPubMed

25.

Greene R, Stratton P, Cleary SD, Ballweg ML, Sinaii N (2009) Diagnostic experience among 4,334 women reporting surgically diagnosed endometriosis. Fertil Steril 91(1):32–39CrossRefPubMed

26.

Fowler CJ, Christmas TJ, Chapple CR, Parkhouse HF, Kirby RS, Jacobs HS (1988) Abnormal electromyographic activity of the urethral sphincter, voiding dysfunction, and polycystic ovaries: a new syndrome? BMJ 297(6661):1436–1438PubMedCentralCrossRefPubMed

Titel: Bladder symptoms and urodynamic observations of patients with endometriosis confirmed by laparoscopy
verfasst von: Pierre Panel
Cyrille Huchon
Sonia Estrade-Huchon
Arnaud Le Tohic
Xavier Fritel
Arnaud Fauconnier
Publikationsdatum: 01.03.2016
Verlag: Springer London
Erschienen in: International Urogynecology Journal / Ausgabe 3/2016
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-015-2848-9

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Bladder symptoms and urodynamic observations of patients with endometriosis confirmed by laparoscopy

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Introduction and hypothesis

Methods

Results

Conclusions

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Springer Medizin

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Introduction and hypothesis

Methods

Results

Conclusions

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