Deeply infiltrating disease in surgically treated XXXX @entity1 .

@entity1 @entity46 @entity75 @entity2371
OBJECTIVE: To examine the incidence of deeply infiltrating endometriotic lesions among surgically treated @entity46 @entity1 , and determine clinical parameters associated with the presence of deep disease. DESIGN: Prospective observational study. SETTING: Regional central hospital. POPULATION: @entity1 undergoing surgical treatment of @entity46 . METHODS: Complete excision of all visible endometriotic lesions and adhesions. MAIN OUTCOME MEASURES: The number and location of @entity75 , association between the presence of @entity75 , relevant preoperative and intraoperative factors. RESULTS: Of 201 surgically treated @entity46 @entity1 , 103 (51.2%) had @entity75 , 43.3% had uterosacral ligament @entity75 , 18.4% intestinal, 15.4% rectovaginal, and 3.5% urinary bladder @entity75 . @entity1 with @entity75 had more often undergone previous operations for @entity46 (p<0.01), had been operated on for @entity2371 (p<0.01) and had a totally obliterated rectovaginal pouch (p<0.01), compared to @entity1 without @entity75 . In multivariate analysis, @entity2371 as an indication for surgery (OR 3.9, 95%CI 1.8-8.9, p<0.01) and totally obliterated rectovaginal pouch (OR 4.0, 95%CI 1.7-9.4, p<0.01) were independent prognostic factors for the presence of deep disease. CONCLUSIONS: Deeply infiltrating @entity46 is common in surgically treated @entity46 @entity1 and should be searched for in those with persistent @entity2371 and where obliteration of the rectovaginal pouch is detected at surgery.
