{
    "abstract": "Bowel endometriosis can cause debilitating symptoms. Surgical colorectal resection is often required for symptomatic relief. Aim of our study was to evaluate quality of life over a one-year follow-up period in patients submitted to a colorectal resection for the treatment of deep endometriosis. Change in intestinal and extra-intestinal symptoms, and reproductive outcome were also evaluated.\nA prospective observational study was conducted on a cohort of 20 women affected by intestinal endometriosis and submitted to a laparoscopic colorectal resection. The subjects completed a questionnaire about quality of life (SF-36), and they scored in a 100-point rank questionnaire gynecological, urinary and gastrointestinal symptoms, pre-operatively and one-\u2009year postoperatively.\nSignificant improvements were observed in all domains of the SF-36 throughout the study period. Dysmenorrhea, dyspareunia and not menstrual pelvic pain showed a significant decrease 1\u2009year after surgery. There was also a decrease in abdominal pain, rectal bleeding and constipation but not of nausea, abdominal pain, defecation pain, tenesmus, diarrhea, mucorrhea. Also some urinary symptoms did not improve.\nThe radical surgical approach has a positive impact on quality of life, although it does not improve all the symptoms complained before surgery. Clear pre-surgical counseling and careful patient selection is suggested.",
    "authors": [
        {
            "affiliation": "a Obstetric and Gynecology Department , San Raffaele Scientific Institute, Vita-Salute University , Milan , Italy.",
            "firstname": "Elisabetta",
            "initials": "E",
            "lastname": "Garavaglia"
        },
        {
            "affiliation": "a Obstetric and Gynecology Department , San Raffaele Scientific Institute, Vita-Salute University , Milan , Italy.",
            "firstname": "Annalisa",
            "initials": "A",
            "lastname": "Inversetti"
        },
        {
            "affiliation": "a Obstetric and Gynecology Department , San Raffaele Scientific Institute, Vita-Salute University , Milan , Italy.",
            "firstname": "Stefano",
            "initials": "S",
            "lastname": "Ferrari"
        },
        {
            "affiliation": "b Department of Gastrointestinal Surgery , San Raffaele Scientific Institute, Vita-Salute University , Milan , Italy.",
            "firstname": "Paola",
            "initials": "P",
            "lastname": "De Nardi"
        },
        {
            "affiliation": "a Obstetric and Gynecology Department , San Raffaele Scientific Institute, Vita-Salute University , Milan , Italy.",
            "firstname": "Massimo",
            "initials": "M",
            "lastname": "Candiani"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.1080/0167482X.2018.1445221",
    "journal": "Journal of psychosomatic obstetrics and gynaecology",
    "keywords": [
        "Deep endometriosis",
        "SF-36 health status",
        "colorectal endometriosis",
        "colorectal resection",
        "pain symptom",
        "quality of life"
    ],
    "methods": null,
    "publication_date": "2018-03-09",
    "pubmed_id": "29514537",
    "results": "Significant improvements were observed in all domains of the SF-36 throughout the study period. Dysmenorrhea, dyspareunia and not menstrual pelvic pain showed a significant decrease 1\u2009year after surgery. There was also a decrease in abdominal pain, rectal bleeding and constipation but not of nausea, abdominal pain, defecation pain, tenesmus, diarrhea, mucorrhea. Also some urinary symptoms did not improve.",
    "title": "Are symptoms after a colorectal segmental resection in deep endometriosis really improved? The point of view of women before and after surgery.",
    "xml": "<Element 'PubmedArticle' at 0x788505fbbdd0>"
}