{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T12:30:09Z","timestamp":1788093009444,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T00:00:00Z","timestamp":1562112000000},"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":["Colorectal Disease"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Using a prospective database of discoid resection performed in two tertiary referral centres, the aim of this study is to assess the feasibility, short\u2010term complication rates and clinical outcomes, including voiding dysfunction, of the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A retrospective analysis of a prospective cohort database was conducted from February 2010 to October 2017 in two tertiary referral centres. One hundred and forty\u2010eight consecutive patients scheduled for colorectal endometriosis by discoid resection were enrolled. The median follow\u2010up was 21\u00a0months. All the women underwent complete preoperative assessment (<jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content>, transvaginal ultrasonography and rectal echo\u2010endoscopy) before the removal of colorectal endometriosis. Postoperative complications were classified according to the Clavien\u2013Dindo classification system as minor (grades I and <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>) or major (grades <jats:styled-content style=\"fixed-case\">IIIA<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> IIIB<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content>). Cases of voiding dysfunction were also noted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The procedure was abandoned in seven patients. In 91 (64.5%) of the remaining 141 patients, the diameter of discoid resection removed was \u2265\u00a030\u00a0mm. Surgery was performed by laparoscopy in 137\/141 cases (92.7%). Grade I\u2013<jats:styled-content style=\"fixed-case\">III<\/jats:styled-content> complications were observed in 37 patients (26.2%) with 11 grade <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>b (7.8%). Postoperative voiding dysfunction occurred in 16 patients (11.3%), 11 of whom required self\u2010catheterization for &lt;\u00a01\u00a0month. In a multivariate analysis including age, body mass index, lesion size and history of previous surgery for endometriosis, a history of previous surgery was independently correlated to complication outcome (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.043).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This analysis suggests that discoid resection is associated with good short\u2010term results for women with colorectal endometriosis in a tertiary referral centre as it is associated with a low rate of postoperative complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.14733","type":"journal-article","created":{"date-parts":[[2019,6,18]],"date-time":"2019-06-18T20:34:52Z","timestamp":1560890092000},"page":"1312-1320","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Discoid resection for colorectal endometriosis: results from a prospective cohort from two French tertiary referral 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