The results have been presented in part as an oral communication at the 11th World Congress on Endometriosis, 4–7 September 2011, Montpellier, France.
Quality of life and sexual function 1 year after laparoscopic rectosigmoid resection for endometriosis
Article first published online: 20 DEC 2012
© 2012 The Authors. Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland
Volume 15, Issue 1, pages 102–108, January 2013
How to Cite
Kössi, J., Setälä, M., Mäkinen, J., Härkki, P. and Luostarinen, M. (2013), Quality of life and sexual function 1 year after laparoscopic rectosigmoid resection for endometriosis. Colorectal Disease, 15: 102–108. doi: 10.1111/j.1463-1318.2012.03111.x
- Issue published online: 20 DEC 2012
- Article first published online: 20 DEC 2012
- Accepted manuscript online: 29 MAY 2012 10:10AM EST
- Received 29 October 2011; accepted 16 February 2012; Accepted Article online 29 May 2012
- bowel endometriosis;
- laparoscopic surgery;
- rectosigmoid resection;
- quality of life;
- sexual functioning
Aim Endometriosis is relatively common condition in fertile women and may affect the alimentary tract. Laparoscopic rectosigmoid resection for endometriosis has been found to be both feasible and safe. The aim of the present study was to prospectively evaluate the quality of life and sexual function of patients who have undergone rectosigmoid resection for endometriosis.
Method All patients undergoing rectal or sigmoid resection for endometriosis in two specialist hospitals were prospectively recruited in the study. Details regarding demography, endometriosis-related symptoms, procedure and postoperative recovery were collected. One year after the operation patients were sent a postal questionnaire asking about endometriosis-related symptoms, quality of life and sexual functioning. The 15D Questionnaire and McCoy Female Sexuality Questionnaire were used for this purpose.
Results A total of 26 patients responded to the 15D questionnaire. Endometriosis-related bowel symptoms decreased significantly after the operation. The responses showed improvements in the overall score and scores for five different dimensions (usual activities, P = 0.04; discomfort and symptoms, P < 0.001; distress, P < 0.001; vitality, P < 0.001; sexual activity, P < 0.001). Sexual satisfaction was greater 1 year after the operation (P = 0.01). Sexual problems and partner satisfaction scores had not changed significantly.
Conclusion Laparoscopic rectal and sigmoid resection for endometriosis significantly reduce endometriosis-related symptoms and improve quality of life and sexual well-being.