{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T18:47:54Z","timestamp":1788202074259,"version":"build-2803163510"},"reference-count":22,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"05","license":[{"start":{"date-parts":[[2022,2,17]],"date-time":"2022-02-17T00:00:00Z","timestamp":1645056000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objectives\u2003To evaluate the impact of surgical treatment of deep infiltrative endometriosis (DIE) on pelvic floor dysfunction (urinary incontinence [UI], pelvic organ prolapse [POP], fecal incontinence [FI)] or constipation, and sexual function [dyspareunia]).<\/jats:p><jats:p>\n          Data Source\u2003The present systematic review was performed in the PubMed database. For the selection of studies, articles should be published by January 5, 2021, without language restriction.<\/jats:p><jats:p>\n          Study Selection\u2003Six randomized controlled studies that evaluated surgical treatment for DIE and the comparison of different surgical techniques were included.<\/jats:p><jats:p>\n          Data Collection\u2003The studies were selected independently by title and abstract by two authors. Disagreements were resolved by a third author. All included studies were also evaluated according to the Cochrane risk of bias tool and the quality of the evidence was analyzed using the GRADE criteria. Subgroup analysis by different treatments and follow-up periods was also performed.<\/jats:p><jats:p>\n          Results\u2003Six studies were included in the quantitative analysis. The risk of bias between studies showed an uncertain risk of bias for most studies, with concealment of allocation being the least reported category. The quality of the evidence was considered low. High heterogeneity was found between the studies. No study has evaluated UI or POP comparatively before and after surgery.<\/jats:p><jats:p>\n          Conclusion\u2003Dyspareunia and FI have improved after the surgical procedure, but it was not possible to demonstrate which surgical technique was related to these outcomes as there was surgical heterogeneity. This diversity was found across data, with the recommendation of future prospective studies addressing pelvic floor disorders with DIE.<\/jats:p>","DOI":"10.1055\/s-0042-1742293","type":"journal-article","created":{"date-parts":[[2022,2,17]],"date-time":"2022-02-17T23:58:48Z","timestamp":1645142328000},"page":"503-510","source":"Crossref","is-referenced-by-count":6,"title":["Effect of Surgical Treatment for Deep Infiltrating Endometriosis on Pelvic Floor Disorders: A Systematic Review with Meta-analysis"],"prefix":"10.61622","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1619-8077","authenticated-orcid":false,"given":"Mirian Vieira","family":"Fraga","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6198-5593","authenticated-orcid":false,"given":"Cristina Laguna","family":"Benetti-Pinto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3889-4778","authenticated-orcid":false,"given":"Daniela Angerame","family":"Yela","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8543-4064","authenticated-orcid":false,"given":"Ticiana Alves de","family":"Mira","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7364-4718","authenticated-orcid":false,"given":"Luiz Gustavo Oliveira","family":"Brito","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2022,2,17]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1097\/AOG.0000000000002469","article-title":"Clinical management of endometriosis","volume":"131","author":"T Falcone","year":"2018","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref2","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1080\/13697137.2019.1578743","article-title":"Diagnosis of endometriosis in the 21st century","volume":"22","author":"L Kiesel","year":"2019","journal-title":"Climacteric"},{"issue":"07","key":"ref3","doi-asserted-by":"publisher","first-page":"1432","DOI":"10.1093\/humrep\/dex091","article-title":"Physical pain and emotion regulation as the main predictive factors of health-related quality of life in women living with endometriosis","volume":"32","author":"G M\u00e1rki","year":"2017","journal-title":"Hum Reprod"},{"issue":"09","key":"ref4","doi-asserted-by":"publisher","first-page":"1349","DOI":"10.1007\/s00192-017-3531-0","article-title":"Urodynamic observations and lower urinary tract symptoms associated with endometriosis: a prospective cross-sectional observational study assessing women with deep infiltrating disease","volume":"29","author":"J AD de Resende J\u00fanior","year":"2018","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"01","key":"ref5","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1007\/s00192-014-2487-6","article-title":"Urinary incontinence and bladder endometriosis: conservative management","volume":"26","author":"U Leone Roberti Maggiore","year":"2015","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"07","key":"ref6","doi-asserted-by":"publisher","first-page":"1490","DOI":"10.1016\/j.jmig.2020.07.019","article-title":"Voiding dysfunction after colorectal surgery for endometriosis: a systematic review and meta-analysis","volume":"27","author":"E Vesale","year":"2020","journal-title":"J Minim Invasive Gynecol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"g7647","DOI":"10.1136\/bmj.g7647","article-title":"Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation","volume":"350","author":"L Shamseer","year":"2015","journal-title":"BMJ"},{"issue":"02","key":"ref8","doi-asserted-by":"publisher","first-page":"156","DOI":"10.2522\/ptj.20070147","article-title":"Scales to assess the quality of randomized controlled trials: a systematic review","volume":"88","author":"S A Olivo","year":"2008","journal-title":"Phys Ther"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1490","DOI":"10.1136\/bmj.328.7454.1490","article-title":"Grading quality of evidence and strength of recommendations","volume":"328","author":"D Atkins","year":"2004","journal-title":"BMJ"},{"key":"ref10","doi-asserted-by":"crossref","DOI":"10.1002\/9781119536604","volume-title":"Cochrane handbook for systematic reviews of interventions. 2nd ed","author":"J P Higgins","year":"2019"},{"issue":"06","key":"ref11","doi-asserted-by":"publisher","first-page":"1018","DOI":"10.1097\/SLA.0b013e3181d9691d","article-title":"Randomized trial of laparoscopically assisted versus open colorectal resection for endometriosis: morbidity, symptoms, quality of life, and fertility","volume":"251","author":"E Dara\u00ef","year":"2010","journal-title":"Ann Surg"},{"issue":"01","key":"ref12","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1093\/humrep\/dex336","article-title":"Conservative surgery versus colorectal resection in deep endometriosis infiltrating the rectum: a randomized trial","volume":"33","author":"H Roman","year":"2018","journal-title":"Hum Reprod"},{"issue":"12","key":"ref13","doi-asserted-by":"publisher","first-page":"2362","DOI":"10.1093\/humrep\/dez217","article-title":"Excision versus colorectal resection in deep endometriosis infiltrating the rectum: 5-year follow-up of patients enrolled in a randomized controlled trial","volume":"34","author":"H Roman","year":"2019","journal-title":"Hum Reprod"},{"issue":"08","key":"ref14","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1016\/j.jogoh.2019.03.013","article-title":"Baseline severe constipation negatively impacts functional outcomes of surgery for deep endometriosis infiltrating the rectum: Results of the ENDORE randomized trial","volume":"48","author":"H Roman","year":"2019","journal-title":"J Gynecol Obstet Hum Reprod"},{"issue":"01","key":"ref15","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1007\/s10103-014-1630-4","article-title":"Treatment efficacy for pain complaints in women with endometriosis of the lesser pelvis after laparoscopic electroablation vs. CO2 laser ablation","volume":"30","author":"E Posadzka","year":"2015","journal-title":"Lasers Med Sci"},{"issue":"01","key":"ref16","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1016\/s0002-9378(11)91636-6","article-title":"Presacral neurectomy for the treatment of pelvic pain associated with endometriosis: a controlled study","volume":"167","author":"G B Candiani","year":"1992","journal-title":"Am J Obstet Gynecol"},{"issue":"05","key":"ref17","doi-asserted-by":"publisher","first-page":"747","DOI":"10.1016\/j.jmig.2017.04.008","article-title":"Laparoscopic excision versus ablation for endometriosis-associated pain: an updated systematic review and meta-analysis","volume":"24","author":"J Pundir","year":"2017","journal-title":"J Minim Invasive Gynecol"},{"issue":"06","key":"ref18","doi-asserted-by":"publisher","first-page":"733","DOI":"10.1097\/DCR.0000000000001047","article-title":"Functional outcomes after rectal resection for deep infiltrating pelvic endometriosis: long-term results","volume":"61","author":"S Erdem","year":"2018","journal-title":"Dis Colon Rectum"},{"issue":"08","key":"ref19","doi-asserted-by":"publisher","first-page":"1360","DOI":"10.1111\/1471-0528.13975","article-title":"Pelvic organ function before and after laparoscopic bowel resection for rectosigmoid endometriosis: a prospective, observational study","volume":"123","author":"M Riiskjaer","year":"2016","journal-title":"BJOG"},{"issue":"04","key":"ref20","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1016\/j.jmig.2018.08.005","article-title":"Patient quality of life and symptoms after surgical treatment for endometriosis","volume":"26","author":"A Comptour","year":"2019","journal-title":"J Minim Invasive Gynecol"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.ejogrb.2015.11.007","article-title":"When sex is not on fire: a prospective multicentre study evaluating the short-term effects of radical resection of endometriosis on quality of sex life and dyspareunia","volume":"197","author":"N Fritzer","year":"2016","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"04","key":"ref22","doi-asserted-by":"publisher","first-page":"983","DOI":"10.1007\/s00404-020-05694-0","article-title":"Surgery-related complications and long-term functional morbidity after segmental colo-rectal resection for deep infiltrating endometriosis (ENDO-RESECT morb)","volume":"302","author":"L C Turco","year":"2020","journal-title":"Arch Gynecol Obstet"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journalrbgo.org\/article\/effect-of-surgical-treatment-for-deep-infiltrating-endometriosis-on-pelvic-floor-disorders-a-systematic-review-with-meta-analysis\/","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1742293.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T20:56:57Z","timestamp":1721336217000},"score":1,"resource":{"primary":{"URL":"https:\/\/journalrbgo.org\/article\/effect-of-surgical-treatment-for-deep-infiltrating-endometriosis-on-pelvic-floor-disorders-a-systematic-review-with-meta-analysis\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,17]]},"references-count":22,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2022,6,13]]},"published-print":{"date-parts":[[2022,5]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1742293","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0100-7203","1806-9339"],"issn-type":[{"value":"0100-7203","type":"print"},{"value":"1806-9339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,17]]}}}