João Alves

OBJECTIVE: To evaluate the association between the endometriosis staging and the type and intensity of pain reported by patients, describing the pain intensity across different pain types. DATA SOURCES: On January 27, 2025, a systematic se…

STUDY OBJECTIVE: To describe the surgical treatment of a uterine isthmocele. DESIGN: Demonstration of the laparoscopic technique with narrated video footage. SETTING: Cesarean section rate has been increasing despite the World Health Orga…

A 37-year-old patient with a previous history of endometriosis and hemicolectomy in the context of invaginated appendix due to an endometriotic lesion was diagnosed with a right adnexal mass on first-trimester ultrasound during pregnancy. O…

A 25-year-old patient with a history of endometriosis and a Caesearean section (pelvic presentation) was referred to consultation due to dysmenorrhea, dyschezia, dyspareunia and pelvic chronic pain (8 in 10). At physical examination, a 2/3 …

BACKGROUND AND OBJECTIVES: Laparoscopic surgical excision of bladder nodules has been demonstrated to be effective in relieving associated painful symptoms; the data are lacking concerning the impact of anterior compartment endometriosis on…

An isthmocele appears as a fluid pouchlike defect in the anterior uterine wall at the site of a prior cesarean section and ranges in prevalence from 19% to 84%, a direct relation to the increase in cesarean sections performed worldwide. Man…

UNLABELLED: STUDY OBJECTIVE: To evaluate if laparoscopic treatment of ureteral endometriosis is feasible, safe, and effective and to determine if ureteral dilatation and/or the number of incisions increases complications. DESIGN: An instit…

STUDY OBJECTIVE: To demonstrate our technique of mini-laparoscopic adnexectomy or salpingectomy at the time of total laparoscopic hysterectomy (TLH). DESIGN: Step-by-step video demonstration of our technique. SETTING: The advantages of la…

UNLABELLED: Adenomyosis is defined as the presence of ectopic endometrial glands and stroma within the myometrium. It is a disease of the inner myometrium and results from infiltration of the basal endometrium into the underlying myometrium…

STUDY OBJECTIVE: To describe our surgical approach in a rare case of deep infiltrating endometriosis of the obturator internus muscle with obturator nerve involvement. DESIGN: A step-by-step surgical explanation using video and literature …

STUDY OBJECTIVE: Urinary endometriosis accounts for 1% of all endometriosis where the bladder is the most affected organ. Although the laparoscopic removal of bladder endometriosis has been demonstrated to be effective in terms of symptom r…

BACKGROUND: Numerous studies concerning endometriosis and pain have been reported. However, there is no consensus on the best method to evaluate pain in endometriosis and many scales have been used. Moreover, there are only a few descriptio…