Rectovaginal endometriosis is the most severe form of endometriosis. Clinically, it presents with a number of symptoms including chronic pelvic pain, dysmenorrhea, deep dyspareunia, dyschezia, and rectal bleeding. Treatment can be medical or surgical.
The different types of disease may co-occur i. The aim of this page is to provide information for patients about ovarian and deep endometriosis. An ovarian endometrioma is a cyst in which the wall of the cyst contains areas of endometriosis.
Study record managers: refer to the Data Element Definitions if submitting registration or results information. Indocyanine green is a dye, using in surgery to bring out the intraoperative evaluation of tissue perfusion. After intravenous injection of indocyanine green, using a near infrared light, the vascularisation becomes fluorescent.
Gynecological Surgery. Rectovaginal endometriosis RVE is one of the most serious and incapacitating forms of presentation of this disease. Traditionally, medical treatment has not been considered effective for the majority of patients, being surgery the only reasonable and therapeutic choice in these cases.
Endometriosis is a disease which continues to be poorly treated. Drugs are still used to treat advanced disease when there is absolutely no evidence for their efficacy. Myths and false concepts are carried from one textbook to the next.
Article written by Jeremy Wright, M. Photos courtesy of David Redwine, M. Rectovaginal endometriosis is perhaps the greatest gynecological surgical challenge, exceeding the complexity of gynecologic oncological surgery.
Endometriosis can affect the bowel in the abdomen and pelvis. Penetration of the endometriosis can vary within two forms:. In some cases, recto-vaginal nodules can start as superficial endometriosis and progress to infiltrate the bowel wall.