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Prevalence and outcome of urinary retention after laparoscopic surgery for severe endometriosis—does histology provide answers?

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Abstract

Introduction and hypothesis

Urinary retention after radical laparoscopic surgery for severe endometriosis is a clinically relevant complication. We hypothesized a relationship between the amount of resected nerves and the occurrence of urinary retention.

Methods

We evaluated, retrospectively, a cohort of 221 patients. The expression of nerves in the resected specimens was investigated in patients with urinary retention and matched controls using standardized immunohistochemistry techniques.

Results

The prevalence of urinary retention was 4.6% (n = 10). Importantly, there was no difference between cases and controls regarding the quantity of nerves in the resected specimens. The cumulative probability of 50% to overcome urinary retention was reached after 5.6 months. Age was the main risk factor for persistent retention (40.3 years with vs. 31.6 years without, p = 0.01).

Conclusions

In older endometriosis patients, surgical radicality should be balanced against preservation of organ function. There is a fairly good chance to recover, even after 6 months, which is important for patient counseling.

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References

  1. Marpeau O, Thomassin I, Barranger E et al (2004) Laparoscopic colorectal resection for endometriosis: preliminary results. J Gynecol Obstet Biol Reprod (Paris) 33(7):600–606

    CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  3. Donnez J, Squifflet J (2010) Complications, pregnancy and recurrence in a prospective series of 500 patients operated on by the shaving technique for deep rectovaginal endometriotic nodules. Hum Reprod 25(8):1949–1958

    Article  PubMed  Google Scholar 

  4. Campagnacci R, Perretta S, Guerrieri M et al (2005) Laparoscopic colorectal resection for endometriosis. Surg Endosc 19(5):662–664

    Article  PubMed  CAS  Google Scholar 

  5. Dubernard G, Rouzier R, David-Montefiore E, Bazot M, Daraï E (2008) Urinary complications after surgery for posterior deep infiltrating endometriosis are related to the extent of dissection and to uterosacral ligaments resection. J Minim Invasive Gynecol 15(2):235–240

    Article  PubMed  Google Scholar 

  6. Nassif J, Trompoukis P, Barata S et al (2011) Management of deep endometriosis. RBM. doi:10.1016/j.rbmo:2010:08:012

  7. Hockel M, Konerding MA, Heussel CP (1998) Liposuction-assisted nerve sparing extended radical hysterectomy: oncologic rationale, surgical anatomy and feasibility study. Am J Obstet Gynecol 178:971–976

    Article  PubMed  CAS  Google Scholar 

  8. Querleu D, Narducci F, Poulard V et al (2002) Modified radical vaginal hysterectomy with or without laparoscopic nerve-sparing dissection: a comparative study. Gynecol Oncol 85:154–158

    Article  PubMed  Google Scholar 

  9. Possover M, Schneider A (2002) Slow-transit constipation after radical hysterectomy type III. Surg Endosc 16:847–850

    Article  PubMed  CAS  Google Scholar 

  10. Possover M, Stober S, Plaul K, Schneider A (2000) Identification and preservation of the motoric innervation of the bladder in radical hysterectomy type III. Gynecol Oncol 79:154–157

    Article  PubMed  CAS  Google Scholar 

  11. Kovoor E, Nassif J, Miranda-Mendoza I, Lang-Avérous G, Wattiez A (2010) Long-term urinary retention after laparoscopic surgery for deep endometriosis. Fertil Steril 95(2):803e9

    Google Scholar 

  12. Van Langendonckt A, Punyadeera C, Kamps R et al (2007) Identification of novel antigens in blood vessels in rectovaginal endometriosis. Mol Hum Reprod 13(12):875–886

    Article  PubMed  Google Scholar 

  13. Minelli L, Fanfani F, Fagotti A et al (2009) Laparoscopic colorectal resection for bowel endometriosis; feasibility, complications, and clinical outcome. Arch Surg 144:234–239

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We thank Dr. Eberst (Hautepierre Hospital, Strasbourg, France) for his support with the urodynamic investigation.

Conflicts of interest

None.

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Authors and Affiliations

  1. Department of Gynecologic Surgery, Strasbourg University Hospital Hautepierre and CMCO, IRCAD/EITS, 1, Place de l’ Hopital, 67091, Strasbourg, France

    Boris Gabriel, Joseph Nassif, Pantelis Trompoukis, Ana Maria Lima, Sonia Barata & Arnaud Wattiez

  2. Universitäts-Frauenklinik Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany

    Boris Gabriel

  3. Obstetrics and Gynecology Department, American University of Beirut Medical Center, Beirut, Lebanon

    Joseph Nassif

  4. Department of Pathology, Strasbourg University Hospital Hautepierre, Strasbourg, France

    Gerlinde Lang-Avérous

  5. Universitäts-Frauenklinik Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany

    Boris Gabriel

Authors
  1. Boris Gabriel
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  2. Joseph Nassif
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  3. Pantelis Trompoukis
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  4. Ana Maria Lima
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  5. Sonia Barata
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  6. Gerlinde Lang-Avérous
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  7. Arnaud Wattiez
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Corresponding author

Correspondence to Boris Gabriel.

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Gabriel, B., Nassif, J., Trompoukis, P. et al. Prevalence and outcome of urinary retention after laparoscopic surgery for severe endometriosis—does histology provide answers?. Int Urogynecol J 23, 111–116 (2012). https://doi.org/10.1007/s00192-011-1492-2

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  • DOI: https://doi.org/10.1007/s00192-011-1492-2

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