Management of Deep Endometriosis

Deep endometriosis is defined as an endometriotic lesion that penetrates the retroperitoneal space for a distance of ≥5 mm. Deep endometriosis is extremely active, occurs in phase with eutopic endometrium, evolves progressively with age, and is most often located in the pouch of Douglas, the rectova...

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Bibliographic Details
Published in:Annals of the New York Academy of Sciences 2001-09, Vol.943 (1), p.276-280
Main Authors: CHAPRON, CHARLES, DUBUISSON, JEAN-BERNARD
Format: Article
Language:English
Subjects:
deep endometriosis
Endometriosis - diagnosis
Endometriosis - diagnostic imaging
Endometriosis - pathology
Endometriosis - surgery
Endometriosis - therapy
eutopic endometrium
Female
Humans
magnetic resonance imaging
rectal endoscopic ultrasonography
transvaginal ultrasonography
Ultrasonography
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Summary:Deep endometriosis is defined as an endometriotic lesion that penetrates the retroperitoneal space for a distance of ≥5 mm. Deep endometriosis is extremely active, occurs in phase with eutopic endometrium, evolves progressively with age, and is most often located in the pouch of Douglas, the rectovaginal septum, the uterosacral ligaments, and occasionally in the uterovesical fold. These lesions are associated with pelvic pain, the intensity of which is proportional to the depth of penetration. It is clear that choice of treatment depends on the location of the endometriotic lesion. In this paper we describe our methods for the initial diagnosis and subsequent treatment of deep endometriosis. These include consultation and clinical examination protocols, use of rectal endoscopic ultrasonography (EUS), magnetic resonance imaging (MRI), and transvaginal ultrasonography techniques in diagnosis and surgical treatment approaches.
ISSN:0077-8923
1749-6632
DOI:10.1111/j.1749-6632.2001.tb03808.x