{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T06:30:10Z","timestamp":1782973810955,"version":"3.54.5"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,10,19]],"date-time":"2015-10-19T00:00:00Z","timestamp":1445212800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>Recently, nerve\u2010sparing (NS) techniques have been incorporated in surgeries for deep infiltrating endometriosis (DIE) to prevent urinary complications. Our aim was to perform a systematic review and meta\u2010analysis to assess the risk of urinary retention after NS surgery for DIE compared with classical (non\u2010NS) techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Following the MOOSE guidelines for systematic reviews of observational studies, data were collected from published research articles that compared NS techniques with non\u2010NS techniques in DIE surgery, with regard to post\u2010operative urinary complications. Inclusion criteria: randomized clinical trials, intervention or observational (cohort and case\u2010control) studies assessing women who underwent surgery for painful DIE. Exclusion criteria: cancer surgery and women submitted to bladder or ureteral resections. The respective relative risks (RR) and 95% confidence intervals (CI) were extracted and a forest plot was generated to show individual and combined estimates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Preliminarily, 1,270 potentially relevant studies were identified from which four studies were selected. A meta\u2010analysis was performed to assess the risk of urinary retention at discharge and 90 days after surgery. We found a common RR of 0.19 [95%CI: 0.03\u20131.17; (I<jats:sup>2\u2009<\/jats:sup>=\u200950.20%; <jats:italic>P\u2009<\/jats:italic>=\u20090.09)] for need of self\u2010catheterization at discharge in the NS group in relation to the conventional technique. Based on two studies, common RR for persistent urinary retention (after 90 days) was 0.16 [95%CI: 0.03\u20130.84].<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results suggest significant advantages of the NS technique when considering the RR of persistent urinary retention. Controlled studies evaluating the best approach to manage the urinary tract after complex surgery for DIE are needed. <jats:italic>Neurourol. Urodynam. 36:57\u201361, 2017<\/jats:italic>. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.22915","type":"journal-article","created":{"date-parts":[[2015,10,19]],"date-time":"2015-10-19T14:14:54Z","timestamp":1445264094000},"page":"57-61","source":"Crossref","is-referenced-by-count":49,"title":["Risk of urinary retention after nerve\u2010sparing surgery for deep infiltrating endometriosis: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"36","author":[{"suffix":"J\u00fanior","given":"Jos\u00e9 Anacleto Dutra","family":"de Resende","sequence":"first","affiliation":[{"name":"Departments of Gynecology and Anesthesia, Fernandes Figueira National Institute for Women, Children and Youth Health (IFF), Oswaldo Cruz Foundation. Av. Rui Barbosa 716\u20133\u00b0 andar, Flamengo, Rio de Janeiro, Brazil"},{"name":"Department of Urology, Lagoa Federal Hospital. Rua Jardim Botanico, 501\u20136\u00b0 andar, Jardim Botanico, Rio de Janeiro Brazil"},{"name":"Crispi Institute of Advanced Gynecology. Av. Das Americas, 3434 B4 216. Barra da Tijuca, Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciana Tricai","family":"Cavalini","sequence":"additional","affiliation":[{"name":"Department of Health Information Technology, Medical Sciences College, Rio de Janeiro State University. Avenida Professor Manuel de Abreu, 444\u20132\u00b0 andar, Vila Isabel, Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio Peixoto","family":"Crispi","sequence":"additional","affiliation":[{"name":"Crispi Institute of Advanced Gynecology. Av. Das Americas, 3434 B4 216. Barra da Tijuca, Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlon","family":"de Freitas Fonseca","sequence":"additional","affiliation":[{"name":"Departments of Gynecology and Anesthesia, Fernandes Figueira National Institute for Women, Children and Youth Health (IFF), Oswaldo Cruz Foundation. Av. Rui Barbosa 716\u20133\u00b0 andar, Flamengo, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1000274"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-9-98"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gyobfe.2013.09.010"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/det050"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-014-3588-7"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.2000.5919"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.2002.6588"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01477.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-010-1624-9"},{"key":"e_1_2_6_11_1","first-page":"385","article-title":"Incidence of pre\u2010 and postoperative urinary dysfunction associated with deep infiltrating endometriosis: Relevance of urodynamic tests and therapeutic implications","volume":"65","author":"Bonneau C","year":"2013","journal-title":"Minerva Ginecol"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgyn.2014.03.003"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.15.2008"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dei324"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-9115-8"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1438.2001.01023.x"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2153-3"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.01.027"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.22915","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.22915","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.22915","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T21:03:29Z","timestamp":1696367009000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.22915"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,19]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1002\/nau.22915"],"URL":"https:\/\/doi.org\/10.1002\/nau.22915","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10,19]]}}}