Surgical and clinical impact of extraserosal pelvic fascia removal in segmental colorectal resection for endometriosis.

Abstract Study Objective To describe the characteristics of patients with colorectal endometriosis and extraserosal pelvic fascia (EPF) involvement and to assess the effect of EPF resection. Design Prospective cohort study (Canadian Task Force classification II-2). Setting University hospital. Patients Two hundred twenty-seven patients who underwent segmental colorectal resection to treat symptomatic deep infiltrating endometriosis between 2001 and 2011, with or without EPF resection. Interventions Segmental colorectal resection with or without EPF resection. Measurements and Main Results One hundred twelve patients (49.4%) required EPF resection. In these patients the total American Society for Reproductive Medicine endometriosis scores were higher (p = .004), there were more associated resected lesions of deep infiltrating endometriosis (p Conclusion EPF infiltration reflects disease severity in patients with colorectal endometriosis. Its removal affects intraoperative morbidity and leads to a higher rate of voiding dysfunction.