Normal function after conservative surgery in huge endometriosis of low rectum responsible for sub occlusion

Normal function after conservative surgery in huge endometriosis of low rectum responsible for sub occlusion

Horace Roman Horace Roman

Horace Roman

Master Surgeon in Multidisciplinary Endometriosis Care, IFEMEndo Bordeaux

发布日期: 2017年5月11日
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4 month-postoperative update: The patient has normal bowel movements (1-2 stools/day, without pain, urgency or anal incontinence) and bladder voiding


37 years nullipara

Severe dyschesia, bloating and lack of stools during the periods, deep dyspareunia.

MRI revealed a huge rectovaginal endometriosis infiltrating the vagina on 3.5 cm diameter and low/mid rectum on 4-5 cm length, with advanced stenosis of rectal lumen.

We employed the Rouen technique: vaginal-laparoscopic-transanal approach enabling 6 cm diameter large disc excision of low rectum.

Overall operative time was 4 hours.

This was the 56th patient managed by the Rouen technique.

Several references about our techniques can be found below:


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