{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T11:28:19Z","timestamp":1783164499583,"version":"3.54.6"},"reference-count":88,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T00:00:00Z","timestamp":1688688000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>Segmental rectum resections for indications other than endometriosis were reported to result in up to 40% sexual dysfunctions. We, therefore, evaluated sexual function after low bowel resection (n = 33) for deep endometriosis in comparison with conservative excision (n = 23). Sexual function was evaluated with the FSFI-19 (Female Sexuality Functioning Index) and EHP 30 (Endometriosis Health Profile). The pain was evaluated with visual analogue scales. Linear excision and bowel resections improved FSFI, EHP 30, and postoperative pain comparably. By univariate analysis, a decreased sexual function was strongly associated with pain both before (p &lt; 0.0001) and after surgery (p = 0.0012), age (p = 0.05), and duration of surgery (p = 0.023). By multivariate analysis (proc logistic), the FSFI after surgery was predicted only by FSFI before or EHP after surgery. No differences were found between low bowel segmental resection and a more conservative excision. In conclusion, improving pain after surgery can explain the improvement in sexual function. A deleterious effect of a bowel resection on sexual function was not observed for endometriosis. Sexual function in women with endometriosis can be evaluated using a simplified questionnaire such as FSFI-6.<\/jats:p>","DOI":"10.3390\/clinpract13040071","type":"journal-article","created":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T02:05:21Z","timestamp":1689041121000},"page":"780-790","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Segmental Rectum Resection for Deep Endometriosis and Excision Similarly Improve Sexual Function and Pain"],"prefix":"10.3390","volume":"13","author":[{"given":"Fernanda de Almeida","family":"Asencio","sequence":"first","affiliation":[{"name":"Department of Gynaecology Endoscopy, Santa Casa de S\u00e3o Paulo Hospital, S\u00e3o Paulo 01221-010, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael Jose Palhares","family":"Fins","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Endoscopy, Santa Casa de S\u00e3o Paulo Hospital, S\u00e3o Paulo 01221-010, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina Kami","family":"Mitie","sequence":"additional","affiliation":[{"name":"Medicine College, University of Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo 01224-001, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasia","family":"Ussia","sequence":"additional","affiliation":[{"name":"Gemelli Hospital, Universtit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnauld","family":"Wattiez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Strasbourg, 67081 Strasbourg, France"},{"name":"Latifa Hospital, Dubai P.O. Box 9115, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helizabet Salomao","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Endoscopy, Santa Casa de S\u00e3o Paulo Hospital, S\u00e3o Paulo 01221-010, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo Ayrosa","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Endoscopy, Santa Casa de S\u00e3o Paulo Hospital, S\u00e3o Paulo 01221-010, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2929-0967","authenticated-orcid":false,"given":"Philippe Robert","family":"Koninckx","sequence":"additional","affiliation":[{"name":"Latifa Hospital, Dubai P.O. Box 9115, United Arab Emirates"},{"name":"Department of Obstetrics and Gynecology, University Hospital Gasthuisberg, Catholic University Leuven, 3000 Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1001\/archsurg.1921.01110080003001","article-title":"Perforating hemorrhagic (chocolate) cysts of the ovary. Their importance and especially their relation to pelvic adenomas of the endometrial type","volume":"3","author":"Sampson","year":"1921","journal-title":"Arch. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"588","DOI":"10.23736\/S2724-606X.21.04864-8","article-title":"Surgical management of endometriosis-associated pain","volume":"73","author":"Koninckx","year":"2021","journal-title":"Minerva Obstet. 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