Deep endometriosis and bladder and detrusor functions in women without urinary symptoms: a pilot study through an unexplored world

作者：Serati Maurizio^*; Cattoni Elena; Braga Andrea; Uccella Stefano; Cromi Antonella; Ghezzi Fabio

来源：Fertility and Sterility, 2013, 100(5): 1332-1336.

DOI：10.1016/j.fertnstert.2013.06.044

• Deep endometriosis
• bladder function
• urodynamics
• detrusor overactivity

Objective: To evaluate the impact of deep endometriosis (DE) on bladder function, focusing on detrusor pattern, in patients without preoperative urinary symptoms. %26lt;br%26gt;Design: Prospective study. %26lt;br%26gt;Setting: Academic research center. %26lt;br%26gt;Patient(s): A total of 25 asymptomatic patients: 12 patients with DE (group 1) and 13 patients with ovarian endometriosis (group 2, control group). %26lt;br%26gt;Intervention(s): Preoperative urodynamic evaluation. %26lt;br%26gt;Main Outcome Measure(s): The impact of DE on urodynamic parameters. %26lt;br%26gt;Result(s): For the first time, a urodynamic diagnosis of detrusor overactivity was correlated with the presence of deep infiltrating endometriosis (group 1, 91.7% [11/12] vs. group 2, 7.7% [1/13]). All involuntary detrusor contractions were detected only during the filling phase. All cystometry parameters were found to be altered in group 1 and statistically different between the two groups. No pressure/flow study parameter significantly differed between the two groups, besides maximal detrusor pressure (46 cmH(2)O [33-79] vs. 29 cmH(2)O [15-40]), which was significantly higher in group 1. Therefore, all detrusor-related parameters are statistically different between the two groups. Postvoid residual does not reach a statistically significant difference. %26lt;br%26gt;Conclusion(s): DE could significantly impair detrusor functions. A preoperative urodynamic evaluation allows the attainment of important functional information, even in asymptomatic patients.

• 出版日期2013-11