Transvaginal and transperineal ultrasound follow‐up after laparoscopic correction of uterine retrodisplacement in women with posterior deep infiltrating endometriosis

Background Retrodisplacement of the uterus (retroflexion and/or retroversion) may be associated with pelvic pain symptoms and posterior deep infiltrating endometriosis (DIE). Previous studies in symptomatic women with retrodisplacement of the uterus showed the efficacy of hysteropexy in terms of pai...

Full description

Saved in:
Bibliographic Details
Published in:Australian & New Zealand journal of obstetrics & gynaecology 2019-04, Vol.59 (2), p.288-293
Main Authors: Seracchioli, Renato, Raimondo, Diego, Del Forno, Simona, Leonardi, Deborah, De Meis, Lucia, Martelli, Valentina, Arena, Alessandro, Paradisi, Roberto, Mabrouk, Mohamed
Format: Article
Language:English
Subjects:
Adult
endometriosis
Endometriosis - complications
Endometriosis - diagnostic imaging
Endometriosis - surgery
Endosonography
Female
Follow-Up Studies
Humans
hysteropexy
Laparoscopy
Pilot Projects
Prospective Studies
transperineal ultrasound
transvaginal ultrasound
Treatment Outcome
Uterine Retroversion - complications
Uterine Retroversion - diagnostic imaging
Uterine Retroversion - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Retrodisplacement of the uterus (retroflexion and/or retroversion) may be associated with pelvic pain symptoms and posterior deep infiltrating endometriosis (DIE). Previous studies in symptomatic women with retrodisplacement of the uterus showed the efficacy of hysteropexy in terms of pain symptoms improvement. Aim To evaluate sonographic, clinical and surgical outcomes of a hysteropexy technique Materials and Methods Laparoscopic round ligament plication and tilting of the uterine fundus in women with uterine retrodisplacement and posterior deep infiltrating endometriosis was performed. Forty‐two symptomatic women were enrolled and the sonographic data of each (angle of uterine version and uterine flexion, uterine mobility) was assessed before and after surgery with transvaginal and transperineal approaches. Women were also evaluated at 1, 6 and 12 months after surgery for pain symptoms with a numerical rating scale (dysmenorrhoea, dyspareunia and chronic pelvic pain), intraoperative data and surgical complications. Results The additional mean operative time of hysteropexy procedure was 8 ± 3 min. At early follow‐up both the uterine angles were significantly (P 
ISSN:0004-8666
1479-828X
DOI:10.1111/ajo.12882