The role of a reference center in the multidisclipinary and interdisciplinary treatment of pelvic endometriosis

The role of a reference center in the multidisclipinary and interdisciplinary treatment of pelvic endometriosis 

Daniele MautoneOrcid, Simone OrlandiOrcid, Giuseppe CaleffiOrcid, Giuseppe DeleddaOrcid, Giovanni Foti1Orcid, Elena Rossato1Orcid, Stefano Cavalleri1, Giacomo RuffoOrcid, Luca GarriboliOrcid Marcello Ceccaroni1– Orcid

1 – IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Verona

Corresponding Author: Daniele Mautone

daniele.mautone@sacrocuore.it


DOI: 10.53146/lriog1202130

Abstract

Endometriosis is a chronic hormone-dependent disease affecting approximately 25-30% of women in the third and fourth decade. Despite its frequency, it is often detected late. The aim of this article was to present a standardized treatment algorithm for an interdisciplinary endometriosis consultation considering medical and surgical approaches. Despite the frequency of endometriosis and a high number of publications dealing with the disease there is a lack of evidence in literature for standardized treatment algorithms allowing a rational diagnostic, medical, multiprofessional and therapeutic approach. The diagnosis includes a structured medical history with the identification of endometriosis-typical symptoms and a gynecological rectovaginal examina- tion, if necessary additional examinations. The treatment algorithm is essentially divided into the phase of diagnosis and the phase of therapy as well as the prevention of recurrence or long-term treatment. A multi-professional team of gynaecology, visceral surgery, vascular surgery ,urology, nutritional medicine, physiatry, gastroenterology, physiotherapy, psychology and psychiatry can be consulted for support. The treatment of endometriosis should be multiprofessional, standardized and reproducible during specialized consultations at certified centers.

Keywords: endometriosis; referral center; endometriosis unit; interdisciplinary approach.


Available in LRIOG Nr.3 – 2021

e-ISSN: 1824-0283


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Pelvic floor dysfunction: role of proctologist and rehabilitator

Pelvic floor dysfunction: role of proctologist and rehabilitator

Simone OrlandiOrcid, Daniela Sorrentino2

1 – Proctologist Surgeon and Medical Director at the Digestive Endoscopy Department of the Sacro Cuore Don Calabria Hospital, Negrar (VR)

2 – Pelvic floor therapist at Sacro Cuore Diagnostic Therapeutic Center, Verona

Corresponding Author: Simone Orlandi. Daniela Sorrentino

simone.orlandi@sacrocuore.it, daniela.sorrentino@sacrocuore.it


DOI: 10.53146/lriog1202138

Abstract

The importance of pelvic floor evaluation and rehabilitation is now recognized in the scientific world. In particular, pelvic pain, proctological and sexual dysfunctions are often present in women with endometriosis, strongly affecting their quality of life. Knowing the symptoms, related disorders and sharing the patients taken in care among the specialists, allows to better clarify the clinical picture, improve the therapeutic path and help to give a new self vision.

Keywords: pelvic floor dysfunctions; endometriosis; pelvic floor overactive; chronic pelvic pain.


Available in LRIOG Nr.3 – 2021

e-ISSN: 1824-0283


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