Please cite this paper as: Wright J, Ballard K. The surgical management of rectovaginal endometriosis: plus ça change? BJOG 2011;118:274–277.
OBJECTIVE: To investigate whether different dimensions of chronic pelvic pain are useful in the diagnosis of endometriosis. DESIGN: A prospective questionnaire-based study of 185 women. SETTING: Southeast of England. PATIENT(S): Women un…
This article discusses the history surrounding the debate on the etiopathology of endometriosis, specifically deep infiltrating endometriosis, and traces the controversies in its management that are as pertinent today as they were when the …
OBJECTIVE: To investigate the reasons women experience delays in the diagnosis of endometriosis and the impact of this. DESIGN: A qualitative interview-based study of 32 women, 28 of whom were subsequently diagnosed with endometriosis. SE…
OBJECTIVE: To compare excisional and ablative treatment modalities for mild (revised American Fertility score 1-2) endometriosis in the management of chronic pelvic pain. DESIGN: A randomized study of excision or ablation for mild endometr…
A logistic regression analysis was carried out to compare laparoscopic excision with ablation for endometriotic cysts. Four comparative studies were identified. Cyst recurrence (%, +/- SE) was twice as likely after the ablation treatment (2…
Rectovaginal endometriosis is perhaps the greatest gynecological surgical challenge, exceeding the complexity of gynecologic oncological surgery. If such disease represented cancer, it would be deemed inoperable, whereas endometriosis is be…
In the early 1950s endometriosis was considered to be a disease that was curable by conservative excisional surgery at laparotomy.1 Recently, however, the most common treatments chosen have been non-aggressive laparoscopic thermal ablative …
OBJECTIVE: To evaluate symptom relief following a laparoscopic technique designed for treatment of complete obliteration of the cul-de-sac associated with endometriosis, with fertility preserved. DESIGN: Preoperative and postoperative ques…