Treatment of Endometriosis of Uterosacral Ligament and Rectum through the Vagina: Description of a Modified Technique

O. Camara; J. Herrmann; A. Egbe; A. Kavallaris; H. Diebolder; M. Gajda; I.B. Runnebaum


Hum Reprod. 2009;24(6):1407-1413. 

In This Article


Four patients were admitted to our hospital with complaints of rectal bleeding and painful defecation during menses (Table I). A urodynamic test was provided, and no incontinence was diagnosed. Pre-operative mechanical bowel preparation with low-residue diet for 4 days before hospitalization and oral intake of Prepacol (Guerbet GmbH, Otto-Volger-Str. 11, 65843 Sulzbach, Germany) on the day of hospitalization were mandatory. The patients underwent magnetic resonance imaging and transvaginal ultrasonographic workup. On bimanual palpation, the uterus was anteverted to a normal degree, without adnexal masses. On rectovaginal examination, a mass was palpated in the pararectal-uterosacral ligament area close to the vaginal fornix.


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