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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | ARCOVERDE, Fernanda | |
dc.contributor.author | ANDRES, Marina P. | |
dc.contributor.author | SOUZA, Carolina C. | |
dc.contributor.author | NETO, Joao S. | |
dc.contributor.author | ABRAO, Mauricio S. | |
dc.date.accessioned | 2021-06-17T13:54:09Z | - |
dc.date.available | 2021-06-17T13:54:09Z | - |
dc.date.issued | 2021 | |
dc.identifier.citation | MINERVA OBSTETRICS AND GYNECOLOGY, v.73, n.3, p.341-346, 2021 | |
dc.identifier.issn | 2724-606X | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/40757 | - |
dc.description.abstract | Deep endometriosis (DE) is classically defined as disease that infiltrates structures by more than 5 mm, such as bowel, ureters, bladder and vagina. The two major symptoms related to DE are pain and infertility. A lot of debate goes on upon the best treatment choice for DE. Treatments include medical therapy with oral progestins or combined contraceptives, and surgery for resection of DE nodules. In this review we focus on the best option treatment for the symptomatic patients with DE not seeking conception. We performed a narrative review of literature searching for the latest evidence on efficacy and outcomes of medical and surgical treatment of DE patients. Results showed that 2/3 of patients with DE will be satisfied with hormonal treatment, and surgery will be effective in improving QoL in most patients with DE. Most studies published regarding surgical outcomes involve bowel endometriosis, and their complication rates should not be extrapolated to all DE. DE that does not infiltrate pelvic viscera accounts for most cases of DE. Together with DE affecting the urinary tract, a much lower rate of severe complications is reported when compared to bowel endometriosis. This distinction should influence decision making. Medical treatment should be first option for non-complicated DE patients not seeking conception. Surgery should be indicated for those who do not tolerate nor improve with medical treatment, as well as those cases complicated by visceral impairment. | eng |
dc.language.iso | eng | |
dc.publisher | EDIZIONI MINERVA MEDICA | eng |
dc.relation.ispartof | Minerva Obstetrics and Gynecology | |
dc.rights | restrictedAccess | eng |
dc.subject | Endometriosis | eng |
dc.subject | Pain | eng |
dc.subject | Surgery | eng |
dc.subject.other | bladder endometriosis | eng |
dc.subject.other | laparoscopic excision | eng |
dc.subject.other | follow-up | eng |
dc.subject.other | management | eng |
dc.subject.other | surgery | eng |
dc.subject.other | complications | eng |
dc.subject.other | pathogenesis | eng |
dc.subject.other | resection | eng |
dc.subject.other | outcomes | eng |
dc.subject.other | therapy | eng |
dc.title | Deep endometriosis: medical or surgical treatment? | eng |
dc.type | article | eng |
dc.rights.holder | Copyright EDIZIONI MINERVA MEDICA | eng |
dc.identifier.doi | 10.23736/S2724-606X.21.04705-5 | |
dc.identifier.pmid | 34008388 | |
dc.subject.wos | Obstetrics & Gynecology | eng |
dc.type.category | review | eng |
dc.type.version | publishedVersion | eng |
hcfmusp.author.external | ARCOVERDE, Fernanda:Natus Luminc Matemidade, Unit Gynecol, Sao Luis Do Maranhao, Brazil | |
hcfmusp.author.external | ANDRES, Marina P.:Univ Sao Paulo, Hosp Clin HCFMUSP, Fac Med, Sect Endometriosis,Div Gynecol, Rua Sao Sebastao 550, BR-04708001 Sao Paulo, Brazil; BP, Div Gynecol, Sao Paulo, SP, Brazil | |
hcfmusp.author.external | NETO, Joao S.:Univ Sao Paulo, Hosp Clin HCFMUSP, Fac Med, Sect Endometriosis,Div Gynecol, Rua Sao Sebastao 550, BR-04708001 Sao Paulo, Brazil; BP, Div Gynecol, Sao Paulo, SP, Brazil | |
hcfmusp.description.beginpage | 341 | |
hcfmusp.description.endpage | 346 | |
hcfmusp.description.issue | 3 | |
hcfmusp.description.volume | 73 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.id | WOS:000654229800008 | |
hcfmusp.origem.id | 2-s2.0-85107447102 | |
hcfmusp.publisher.city | TURIN | eng |
hcfmusp.publisher.country | ITALY | eng |
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dc.description.index | WoS | eng |
dc.identifier.eissn | 2724-6450 | |
hcfmusp.citation.scopus | 5 | - |
hcfmusp.scopus.lastupdate | 2024-03-29 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MOG Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - LIM/58 Artigos e Materiais de Revistas Científicas - ODS/03 |
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