Maurizio Serati, M.D., Elena Cattoni, M.D., Andrea Braga, M.D., Stefano Uccella, M.D., Antonella Cromi, M.D., Fabio Ghezzi, M.D.
Volume 100, Issue 5, Pages 1332-1336, November 2013
To evaluate the impact of deep endometriosis (DE) on bladder function, focusing on detrusor pattern, in patients without preoperative urinary symptoms.
Academic research center.
A total of 25 asymptomatic patients: 12 patients with DE (group 1) and 13 patients with ovarian endometriosis (group 2, control group).
Preoperative urodynamic evaluation.
Main Outcome Measure(s):
The impact of DE on urodynamic parameters.
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 cmH2O [33–79] vs. 29 cmH2O [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.
DE could significantly impair detrusor functions. A preoperative urodynamic evaluation allows the attainment of important functional information, even in asymptomatic patients.
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