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Nerve-sparing technique said to cut complications in deep endometriosis.(Gynecology)

OB GYN News

| February 01, 2005 | Finn, Robert | COPYRIGHT 2005 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

SAN FRANCISCO -- A laparoscopic procedure that preserves the hypogastric and pelvic splanchnic nerves appears to reduce urinary retention after treatment of deep pelvic endometriosis, Paulo Ayroza Ribeiro, M.D., reported at the annual meeting of the American Association of Gynecologic Laparoscopists.

In a prospective, nonrandomized study, Dr. Ayroza Ribeiro of Santa Casa Medical School in Sao Paulo, Brazil, first treated 25 women with laparoscopic radical excision of paracervical deep pelvic endometriosis using standard techniques. Then, after introducing the nerve-sparing technique, he treated an additional 25 women.

Nine of the 25 who underwent the standard procedure experienced urinary retention on day 1 following the operation, 4 still had urinary retention on day 3, and 2 still had urinary retention on day 30.

By comparison, 2 of the 15 women who underwent the ...

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