Epidemiology and social impact of endometriosis today

Epidemiology and social impact of endometriosis today

Silvia BaggioOrcid, Giulia Mantovani1, Paola De MitriOrcid, Matteo CeccarelloOrcid, Maria Manzone1, Marcello Ceccaroni1– Orcid

1 – Department of Obstetrics and Gynecology, Gynecological Oncology and Mini-Invasive Pelvic Surgery, International School of Surgical Anatomy, IRCCS “Sacro Cuore – Don Calabria” Hospital, Negrar di Valpolicella, Verona

Corresponding author: Silvia Baggio

silvia.baggio@sacrocuore.it


DOI: 10.53146/lriog1202128

Abstract

Endometriosis is a chronic, persistent, recurrent pelvic disease that can cause debilitating symptoms and infertility or be completely asymptomatic. It is a very common disease among women of childbearing age, with a prevalence of around 2% in the low-risk population, from more than 40% in women with chronic pelvic pain and up to 50-60% in infertile women. It is believed that 176 million are the women affected worldwide, but the true prevalence rates are not fully known yet, mainly because the symptoms are often underestimated by primary care doctors and gynecologists, causing an average diagnostic delay of about 4-6 years. This delay is often the cause of an irrecoverable impairment of the quality of life of women, both physically, psychically and socially /relationally, as well as of an important loss of productivity and health costs soaring, making Endometriosis deserve the title of “social disease”. Understanding Endometriosis and its prevalence and improving the knowledge of its risk factors could help physicians to promptly recognize it or at least suspect it, and therefore direct the affected women to Specific Referral Centers, thus allowing an early taking charge with subsequent benefit for the single and for the society.

Keywords: endometriosis; epidemiology; burden; quality of life; costs; diagnostic delay.


Available in LRIOG Nr.3 – 2021

e-ISSN: 1824-0283


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Laparoscopic diagnosis and treatment of intestinal endometriosis

Laparoscopic diagnosis and treatment of intestinal endometriosis

Roberto Clarizia1, Giovanni RoviglioneOrcid, Francesco Bruni1, Daniele MautoneOrcid, Carlo Tricolore1, Matteo Ceccerello1, Paola De MitriOrcid, Giacomo RuffoOrcid, Marcello Ceccaroni1 – Orcid

1 – Department of Obstetrics and Gynecology, Gynecological Oncology and Minimally Invasive Pelvic Surgery, International School of Surgical Anatomy, IRCCS “Sacro Cuore – Don Calabria” Hospital, Negrar di Valpolicella, Verona

2 – Department of General Surgery, IRCCS “Sacro Cuore – Don Calabria” Hospital, Negrar di Valpolicella, Verona

Corresponding Author: Roberto Clarizia

roberto.clarizia@sacrocuore.it


DOI: 10.53146/lriog1202134

Abstract

The diagnosis and treatment of intestinal infiltrating endometriosis represents one of the most difficult challenges for an Endometriosis Unit, where such patients should be mandatorily referred. It is a condition that can be both asymptomatic and debilitating the quality of life of affected women, and which intersects with crucial issues such as reproductive desire and pelvic visceral functions. Correct treatment can indeed lead to a significant improvement in the quality of life but is not without long-term risk in terms of rectal, bladder and sexual dysfunctions, as well as peri-operative surgical complications.
The techniques of shaving, discoid resection and segmental resection should not be considered alternatives but distinct and each finds specific indications for specific subsets of patients taking into account on the size of the lesion, the depth of infiltration and patients symptoms.

Keywords: endometriosis; bowel resection; laparoscopy; bowel shaving; discoid resection.


Available in LRIOG Nr.3 – 2021

e-ISSN: 1824-0283


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