{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T03:09:20Z","timestamp":1792465760362,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T00:00:00Z","timestamp":1657584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The aim of this study was to investigate long\u2010term outcomes in terms of pain, quality of life (QoL), and gastrointestinal symptoms in women following colorectal surgery for deep endometriosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>In this historical cohort, women who underwent surgical treatment for deep endometriosis by either nerve\u2010sparing full\u2010thickness discoid resection (DR) or colorectal segmental resection (SR) between March 2011 and August 2016 were re\u2010evaluated through telephone interviews about their long\u2010term pain symptoms, subjective overall QoL as rated using a score from 0 (worst) to 10 (optimal), and gastrointestinal outcomes reflected by lower anterior resection syndrome (LARS) following a first postsurgical evaluation (visit 1) published previously and a long\u2010term follow\u2010up evaluation (visit 2).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median long\u2010term follow\u2010up time was 35.4\u2009months at visit 1 and 86\u2009months at visit 2. Of 134 patients, 77 were eligible for final analysis and 57 were lost to follow\u2010up. Compared with presurgical values, QoL scores were significantly increased at both postsurgical evaluation visits in both the SR cohort (scores of 3, 8.5, and 10 at the presurgical visit, visit 1, and visit 2, respectively; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and the DR cohort (scores of 3, 9, and 10, respectively; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Pain scores for dysmenorrhea (SR group scores of 8, 2, and 2, respectively; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001; DR group scores of 9, 2, and 1, respectively; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), dyspareunia (SR group scores of 4, 0, and 0, respectively; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001; DR group scores of 5, 0, and 1, respectively; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.003), and dyschezia (SR group scores of 8, 2, and 2, respectively; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001; DR group scores of 9, 2, and 1, respectively; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) significantly decreased after surgery and remained stable in both cohorts over the follow\u2010up period. Minor and major LARS, reflecting gastrointestinal function, was observed in 6.5% and 8.1% of the SR group and in 13.3% and 6.7% of the DR group, respectively, at visit 1 and in 3.2% and 3.2% of the SR group and 0% and 0% of the DR group, respectively, at visit 2, without significant differences between the SR and DR groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Colorectal surgery for deep endometriosis, either by DR or SR, provides stable and long\u2010term pain relief with low rates of permanent gastrointestinal function impairment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14411","type":"journal-article","created":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T02:39:59Z","timestamp":1657679999000},"page":"972-977","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Long\u2010term surgical outcomes of nerve\u2010sparing discoid and segmental resection for deep endometriosis"],"prefix":"10.1111","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9570-1165","authenticated-orcid":false,"given":"Ezgi","family":"Darici","sequence":"first","affiliation":[{"name":"Department of Gynecology, Center for Endometriosis Hospital St. John of God  Vienna Austria"},{"name":"Department of Obstetrics and Gynecology, University of Health Sciences Turkey Zeynep K\u00e2mil Women and Children's Diseases Training and Research Hospital  Istanbul Turkey"},{"name":"European Endometriosis League  Unterhaching Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Denkmayr","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Center for Endometriosis Hospital St. John of God  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daria","family":"Pashkunova","sequence":"additional","affiliation":[{"name":"Rudolfinerhaus Private Clinic and Campus  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Dauser","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Center for Endometriosis Hospital St. John of God  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tudor","family":"Birsan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Center for Endometriosis Hospital St. John of God  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9424-2208","authenticated-orcid":false,"given":"Gernot","family":"Hudelist","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Center for Endometriosis Hospital St. John of God  Vienna Austria"},{"name":"European Endometriosis League  Unterhaching Germany"},{"name":"Rudolfinerhaus Private Clinic and Campus  Vienna 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