Deep endometriosis: a consequence of infiltration or retraction or possibly adenomyosis externa?

摘要: Objective To analyze the incidence and occurrence of subtypes deep endometriosis. Design Deep endometriotic lesions (>5 mm) were retrospectively analyzed, using our data base slides taken systematically during surgery. Setting University Hospital Gasthuisberg (University Leuven) which is a referral center for infertility endoscopic Patients All women with endometriosis (n=136) selected from consecutive series 1,252 laparoscopies infertility, pain, or both. Interventions Main Outcome Measurements was excised by CO 2 laser depth infiltration pelvic area measured. As part an ongoing study, most photographed. Results suggested to contain three subgroups. Type I conical shaped be formed infiltration. II deeply located covered extensive adhesions probably retraction. III spherical nodule its largest dimension under peritoneum. Types I, II, are found in 4.1%, 0.8%, 0.9% (n=759) 10.4%, 3.2%, 3.2% pain (n=374). frequently revised American Fertility Society classes IV, respectively. Conclusions Three can distinguished. III, recto vaginal septum severe lesion. This is, however, easily missed clinically because these generally scored as class I.