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Presentation and management of perineal endometriosis
Author(s) -
Zhu Lan,
Lang Jinghe,
Wang Hanbi,
Liu Zhufeng,
Sun Dawei,
Leng Jinhua,
Zhou Huimei,
Cui Quancai,
Wong Felix
Publication year - 2009
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2009.01.022
Subject(s) - medicine , endometriosis , presentation (obstetrics) , anal sphincter , surgery , perineum , incidence (geometry) , sphincter , gynecology , physics , optics
Objective To analyze the clinical presentation of perineal endometriosis and evaluate its treatment. Methods Clinical data were analyzed from the records of 36 patients with perineal endometriosis who were operated on between 1983 and 2007 at Peking Union Medical College Hospital, and followed up for 0.5 to 14 years. Results The incidence of perineal endometriosis was 0.31% among the women with endometriosis treated surgically at the hospital. The latent period was between 4 months and 13 years. All patients had cyclical and painful lesions. Of the 36 patients, 5 (13.9%) also suffered from pelvic endometriosis. All patients without anal sphincter involvement were cured after complete surgical excision. In 7 patients who had anal sphincter involvement, disease recurred because of incomplete excision. Conclusion Perineal endometriosis can be diagnosed on the basis of clinical features and surgical excision is the treatment of choice. The recurrence rate of perineal endometriosis is related to sphincter involvement making preoperative evaluation of anal sphincter important.