Quality of Life, Bowel and Urinary Functions After Surgery for Bowel Endometriosis
Ahmet Kale1, Elif Cansu Gündoğdu1, Esra Keleş2, Kürşad Nuri Baydili3, Taner Usta4, Ebru Kale1, Deniz Çokay5, Elif Ünlügedik Sayın1, Engin Oral61Department of Obstetrics and Gynecology, University of Health Sciences Türkiye, Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, Türkiye2Department of Gynecologic Oncology, University of Health Sciences Türkiye, Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, Türkiye
3Department of Biostatistics, University of Health Sciences Türkiye, Hamidiye Faculty of Medicine, İstanbul, Türkiye
4Department of Obstetrics and Gynecology, Acıbadem Mehmet Ali Aydınlar University, Acıbadem Altunizade Hospital, Endometriosis and Pelvic Pain Center, İstanbul, Türkiye
5Department of Biochemistry, University of Health Sciences Türkiye, Hamidiye Faculty of Medicine, İstanbul, Türkiye
6Department of Obstetrics and Gynecology, Bezmialem Vakıf University, İstanbul, Türkiye
INTRODUCTION: This study aimed to evaluate pain symptoms, functional outcomes, and quality of life (QoL) before and after surgery for rectosigmoid endometriosis.
METHODS: We conducted a retrospective cohort study on patients who underwent laparoscopic segmental resection, discoid resection, or shaving for DIE in a tertiary referral hospital. Pre- and postoperative data based on surgical records and questionnaires covering bowel, urinary function, and QoL were collected. Visual Analogue Scale (VAS), Constipation Severity Scale (CSS), Overactive Bladder-Validated 8-questionnaire Screener (OAB-V8), and 36-item Short Form Health Survey (SF-36) were used as scales.
RESULTS: All measures of QoL except mental health were improved at three months after surgery. The median Visual Analogue Scale (VAS) pain score significantly decreased three months after surgery (p<0.001). Women surgically treated had significantly improved results on the Constipation Severity Scale (p<0.001). Overall Overactive Bladder-Validated 8-questionnaire Screener scores did not show any significant change after surgery when compared to the preoperative scores (p<0.001). There were few complications associated with surgery for rectosigmoid endometriosis.
DISCUSSION AND CONCLUSION: Surgery for rectosigmoid endometriosis results in improvements in all aspects of pain and bowel functions three months after surgery. A significant and clinically relevant improvement in QoL, except for mental health, was observed three months after surgery.
Manuscript Language: English