Huge endometriosis nodule of parameter, rectum, vagina, bladder and S3 sciatic root
32 year nullipara
Dysuria, dyschesia, deep dyspareunia du to very large nodule infiltrating mid rectum + posterior/right vagina + right parameter + compression on S3 sciatic root
We performed combined laparoscopic-vaginal-transanal route with:
- mid/low rectal disc excision (the Rouen technique)
- vaginal excision
- parameter resection
- bladder resection
- dissection of S3 and S4 right sacral roots
- colostoma
Total operative time: 4h40 min
Analytics Team Manager | Justice and Home Affairs
7 年Can you excise Endometriosis from around the sacral roots? How would this be performed?
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CEO of Pelvic Guru, LLC / Pelvic Global and Owner, Sher Pelvic Health; International Speaker and Instructor. Pelvic Health / Sexual Health
7 年What types of symptoms was this patient having, particularly since the S3 root was affected?
Business Manager
7 年Very interesting! I'm scheduled to have my colon shortened because of endometriosis that has surpressed through the sigmoid colon wall. Would this procedure be considered an option for such cases?