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Voiding Dysfunction after Colorectal Surgery for Endometriosis: A Systematic Review and Meta-analysis
- Source :
- Journal of Minimally Invasive Gynecology, Journal of Minimally Invasive Gynecology, 2020, 27, pp.1490-1502.e3. ⟨10.1016/j.jmig.2020.07.019⟩, Journal of Minimally Invasive Gynecology, Elsevier, 2020, 27, pp.1490-1502.e3. ⟨10.1016/j.jmig.2020.07.019⟩
- Publication Year :
- 2020
- Publisher :
- HAL CCSD, 2020.
-
Abstract
- International audience; Objective: Surgical management of deep endometriosis is associated with a high incidence of lower urinary tract dysfunction. The aim of the current systematic review and meta-analysis was to assess the rates of voiding dysfunction according to colorectal shaving, discoid excision, and segmental resection for deep endometriosis.Data sources: We performed a systematic review using bibliographic citations from PubMed, Clinical Trials.gov, Embase, Cochrane Library, and Web of Science databases. Medical Subject Headings terms for colorectal endometriosis and voiding dysfunction were combined and restricted to the French and English languages. The final search was performed on August 28, 2019. The outcome measured was the occurrence of postoperative voiding dysfunction.Methods of study selection: Study Quality Assessment Tools were used to assess the quality of included studies. Studies rated as good and fair were included. Two reviewers independently assessed the quality of each included study, discrepancies were discussed; if consensus was not reached, a third reviewer was consulted.Tabulation, integration and results: Out of 201 relevant published reports, 51 studies were ultimately reviewed systematically and 13 were included in the meta-analysis. Rectal shaving was statistically less associated with postoperative voiding dysfunction than segmental colorectal resection (Odds ratio [OR] 0.34; 95% confidence intervals [CI], 0.18-0.63; I2 = 0%; p 1 month than segmental colorectal resection (OR 0.3; 95% CI, 0.14-0.66; I2 = 0%; p = .003). This outcome was no longer significant when comparing discoid excision and segmental colorectal resection (OR 0.72; 95% CI, 0.4-1.31; I2 = 63%; p = .28).Conclusion: Colorectal surgery for endometriosis has a significant impact on urinary function regardless of the technique. However, rectal shaving causes less postoperative voiding dysfunction than discoid excision or segmental resection.
- Subjects :
- medicine.medical_specialty
Databases, Factual
Colon
Urinary system
[SDV]Life Sciences [q-bio]
Endometriosis
Cochrane Library
Lower risk
03 medical and health sciences
Colonic Diseases
0302 clinical medicine
Postoperative Complications
medicine
Humans
Digestive System Surgical Procedures
Bowel involvement
030219 obstetrics & reproductive medicine
business.industry
Incidence (epidemiology)
Rectum
Obstetrics and Gynecology
medicine.disease
Urination Disorders
Colorectal surgery
Voiding dysfunction
3. Good health
Surgery
Gastrointestinal endometriosis
[SDV] Life Sciences [q-bio]
Meta-analysis
Rectal Diseases
Treatment Outcome
030220 oncology & carcinogenesis
Female
Laparoscopy
Segmental resection
business
Subjects
Details
- Language :
- English
- ISSN :
- 15534650
- Database :
- OpenAIRE
- Journal :
- Journal of Minimally Invasive Gynecology, Journal of Minimally Invasive Gynecology, 2020, 27, pp.1490-1502.e3. ⟨10.1016/j.jmig.2020.07.019⟩, Journal of Minimally Invasive Gynecology, Elsevier, 2020, 27, pp.1490-1502.e3. ⟨10.1016/j.jmig.2020.07.019⟩
- Accession number :
- edsair.doi.dedup.....0faa95db5d90da228d66b9def4f9e54c