{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T05:35:30Z","timestamp":1781933730870,"version":"3.54.5"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,5,21]],"date-time":"2014-05-21T00:00:00Z","timestamp":1400630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>To compare bowel and bladder function following uterosacral or rectovaginal excision of endometriosis with excision of endometriosis from other sites of the pelvis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study was performed via a questionnaire derived from validated questionnaires in the literature. This was applied to the two groups of women who have had endometriosis resected in the last 15\u00a0years \u2013 those with deeply infiltrating endometriosis (DIE) and those with endometriosis from other sites. In the questionnaire, voiding dysfunction, urinary stress incontinence, urinary urge incontinence, stool evacuation and overall symptoms post\u2010surgery were investigated. The higher the score, the higher the level of dysfunction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Women with <jats:styled-content style=\"fixed-case\">DIE<\/jats:styled-content> had higher levels of urinary stress dysfunction than the control group (mean 1 vs 0, <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content> 3 vs 2, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.047). Women with <jats:styled-content style=\"fixed-case\">DIE<\/jats:styled-content> also expressed a higher level of bowel dysfunction (mean 2 vs 2, <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content> 1 vs 0, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.002). However, women with <jats:styled-content style=\"fixed-case\">DIE<\/jats:styled-content> also reported significant improvement in urinary and bowel dysfunction postoperatively. There were no significant differences between the other variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The study demonstrated no clear association between the depth of excision of endometriosis with urinary and bowel dysfunction. The differences in urinary stress incontinence and bowel dysfunction may be explained by <jats:styled-content style=\"fixed-case\">DIE<\/jats:styled-content> itself causing damage to the hypogastric plexus.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12199","type":"journal-article","created":{"date-parts":[[2014,5,21]],"date-time":"2014-05-21T07:12:39Z","timestamp":1400656359000},"page":"218-224","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Bowel and bladder function after resection of deeply infiltrating endometriosis"],"prefix":"10.1111","volume":"54","author":[{"given":"Ying Hong","family":"Li","sequence":"first","affiliation":[{"name":"Women's Health and Neonatology Royal Prince Alfred Hospital Sydney New South Wales Australia"},{"name":"Sydney Medical School University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley","family":"De Vries","sequence":"additional","affiliation":[{"name":"Women's Health and Neonatology Royal Prince Alfred Hospital Sydney New South Wales Australia"},{"name":"Sydney Medical School University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Cooper","sequence":"additional","affiliation":[{"name":"Women's Health and Neonatology Royal Prince Alfred Hospital Sydney New South Wales Australia"},{"name":"Sydney Medical School University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surya","family":"Krishnan","sequence":"additional","affiliation":[{"name":"Women's Health and Neonatology Royal Prince Alfred Hospital Sydney New South Wales Australia"},{"name":"Sydney Medical School University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,5,21]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199707243370401"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/14.5.1332"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb11578.x"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2004.03.046"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.08.033"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200206000-00018"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.08.035"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2007.10.009"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(98)70533-2"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.2000.5919"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2005.07.006"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-9115-8"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2002.01147.x"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2003.12.027"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.07.037"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2002.01236.x"},{"key":"e_1_2_5_18_1","unstructured":"SAS software Version 9.2 of the SAS System for Windows. 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