Pelvic pain and posterior compartment deep infiltrating nodules of endometriosis
CANSAGE ePoster Library. Yong P. 09/26/19; 275256; eP-123
Paul Yong
Paul Yong
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Abstract
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Objectives: To characterize the association between posterior compartment deep infiltrating nodules of endometriosis and different types of pelvic pain. Methods: Analysis of a prospective registry, the Endometriosis Pelvic Pain Interdisciplinary Cohort (EPPIC) (ClinicalTrials.gov #NCT02911090). Inclusion criteria were new or re-referred patients to the centre between January 1, 2014 and December 31, 2016, who had subsequent surgical excision and histological confirmation of endometriosis. Exclusion criteria included post-menopausal status, and absence of sexual pain scores or preoperative examination. The presence of a posterior compartment nodule at the time of surgery (yes/no), was tested for an association with pelvic pain scores pre-operatively: dysmenorrhea, deep or superficial dyspareunia, chronic pelvic pain, back pain, and dyschezia, each with severity rated from 0-10. The t-test was utilized, with p < 0.05.Results: 424 women met study criteria. A posterior compartment nodule was present in 16% (67/424), while 84% (357/424) did not have a posterior compartment nodule. Patients with a posterior compartment nodule had significantly worse dyschezia: 5.3 +/- 3.0 vs. 4.2 +/- 3.1 (p = 0.009). In contrast, there were no significant associations between a posterior compartment nodule and dysmenorrhea, dyspareunia, chronic pelvic pain, or back pain.Conclusion: Posterior compartment nodules have a specific anatomic relationship to painful bowel movements, but may not necessarily lead to more painful periods or chronic pelvic pain.
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