{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T23:21:18Z","timestamp":1792624878828,"version":"4.5.0"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T00:00:00Z","timestamp":1710720000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The objective of this paper is to evaluate changes in lower urinary tract symptoms (LUTS), severity of pain and urodynamic parameters after minimally invasive nerve\u2010sparing surgery for patients with endometriosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed 143 patients undergoing minimally invasive nerve\u2010sparing surgery for endometriosis excision (laparoscopy\/robot\u2010assisted). The endometriosis was confirmed by preoperative clinical evaluation, magnetic resonance imaging (MRI) showing at least one lesion deeper than 5\u2009mm, and histological confirmation after laparoscopy. We evaluated three points prior and after surgery: LUTS parameters according to the International Urogynecological Association; urodynamic measures of storage and voiding and the severity of the dyspareunia, dyschezia and dysmenorrhea assessed on a self\u2010reported 11\u2010point numeric rating scale. The Wilcoxon signed rank and McNemar tests were used for statistical analyses (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We observed significant improvements in LUTS after the surgery with postoperative symptom\u2010free probabilities in urgency (64.5%), daytime frequency (38.5%), and dysuria (87.1%). However, slow stream prevalence increased significantly postsurgery (<jats:italic>p<\/jats:italic>\u2009=\u20090.022), with a 20.5% risk of asymptomatic patients developing this symptom. Urodynamic responses varied; for instance, maximum cystometric capacity improved significantly (<jats:italic>p<\/jats:italic>\u2009=\u20090.004), while postvoiding residual worsened (<jats:italic>p<\/jats:italic>\u2009=\u20090.006). Significant worsening in postvoiding residual occurred in women with normal preoperative values (<jats:italic>p<\/jats:italic>\u2009=\u20090.002), with a 17.7% risk of normal values becoming abnormal. Compliance or maximum cystometric capacity not considered normal preoperatively showed significant improvements (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), but the risk of normal values becoming abnormal after surgery was 14.5%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The minimally invasive nerve\u2010sparing surgery for endometriosis excision shows improvement in lower urinary tract symptoms, urodynamics parameters and severity of pain. The majority of patients became asymptomatic in the postoperative period. When compared to the benefits of the patients' surgical treatment, particularly when considering the reduction of pain, the risks of the lower urinary tract treatment seem to be acceptable. The surgical intervention seems to be a safe alternative in patients with endometriosis, although studies with larger samples are needed to confirm these findings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25414","type":"journal-article","created":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T11:35:28Z","timestamp":1710761728000},"page":"862-873","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Changes in lower urinary tract function after minimally invasive nerve\u2010sparing for complete excision of endometriosis: An observational study"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0832-7572","authenticated-orcid":false,"given":"Fernanda Hack","family":"Gomes","sequence":"first","affiliation":[{"name":"Hospital Federal da Lagoa and Universidade do Estado do Rio de Janeiro Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8568-324X","authenticated-orcid":false,"given":"Marlon de Freitas","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Instituto Fernandes Figueira Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1562-6068","authenticated-orcid":false,"given":"Luciano Alves","family":"Favorito","sequence":"additional","affiliation":[{"name":"Hospital Federal da Lagoa and Universidade do Estado do Rio de Janeiro Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2514-6674","authenticated-orcid":false,"given":"Mauro Poggiali","family":"Gasparoni","sequence":"additional","affiliation":[{"name":"Hospital Federal da Lagoa and Universidade do Estado do Rio de Janeiro Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2710-2723","authenticated-orcid":false,"given":"Fernando Salles","family":"da Silva Filho","sequence":"additional","affiliation":[{"name":"Hospital Federal da Lagoa and Universidade do Estado do Rio de Janeiro Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2634-412X","authenticated-orcid":false,"given":"Andr\u00e9 Luiz Lima","family":"Diniz","sequence":"additional","affiliation":[{"name":"Hospital Federal da Lagoa and Universidade do Estado do Rio de Janeiro Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7396-4351","authenticated-orcid":false,"given":"Jos\u00e9 Anacleto D.","family":"de Resende J\u00fanior","sequence":"additional","affiliation":[{"name":"Hospital Federal da Lagoa and Universidade do Estado do Rio de Janeiro Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/hropen\/hoac009"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41574-019-0245-z"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1810764"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2008.04.056"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17134683"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2022.01.003"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2015.00023"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3531-0"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2013.07.022"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2014.05.012"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22915"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.11.008"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2020.11.005"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-0976-9"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0250046"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23897"},{"key":"e_1_2_11_18_1","unstructured":"EAU Guidelines. 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