Partial colpectomy is a risk factor for urologic complications of colorectal resection for endometriosis

• Published in: Journal of minimally invasive gynecology Vol. 20; no. 1; p. 49
• Main Authors: Zilberman, Sonia, Ballester, Marcos, Touboul, Cyril, Chéreau, Elisabeth, Sèbe, Philippe, Bazot, Marc, Daraï, Emile
• Format: Journal Article
• Language: English
• Published: United States 01.01.2013
• Subjects: Adult; Cohort Studies; Endometriosis - diagnosis; Endometriosis - surgery; Female; Follow-Up Studies; Humans; Incidence; Laparoscopy - adverse effects; Laparoscopy - methods; Magnetic Resonance Imaging; Middle Aged; Postoperative Complications; Retrospective Studies; Risk Factors; Ultrasonography; Urologic Diseases - etiology; Urologic Diseases - therapy; Vaginal Diseases - diagnosis; Vaginal Diseases - surgery; Young Adult
• ISSN: 1553-4669
• DOI: 10.1016/j.jmig.2012.08.775

To evaluate urologic complications after colorectal resection for endometriosis. Cohort study (Canadian Task Force classification II-2). Tertiary referral university hospital and expert center in endometriosis. One hundred sixty-six women with colorectal endometriosis proven by transvaginal sonography and magnetic resonance imaging. Open or laparoscopic colorectal resection for endometriosis. Forty-four patients (26.5%) experienced at least 1 urologic complication, including infection. Eight patients (4.8%) experienced postoperative symptomatic hydronephrosis requiring ureteral stent in 3 cases, a percutaneous nephrostomy in 1 case, and expectant management for the last 4. Urologic fistulas occurred in 5 patients (3%). Postoperative voiding dysfunction requiring self-catheterization was observed in 48 patients (28.9%). With univariate analysis, a relationship was found between voiding dysfunction and partial colpectomy (p = .001) and American Society of Reproductive Medicine total score (p = .02), and between the occurrence of urinary fistula and the use of prophylactic ureteral catheterization (p = .015) and parametrectomy (p = .02). A relationship was found between postoperative symptomatic hydronephrosis and the use of prophylactic ureteral catheterization (p = .003). Colorectal resection for endometriosis can lead to urologic complications, particularly for patients requiring partial colpectomy, of which patients need to be informed.