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Anatomically Based Surgical Dissection for Deep Endometriosis Surgery
Published in Nazar N. Amso, Saikat Banerjee, Endometriosis, 2022
Mohamed Mabrouk, Diego Raimondo, Alessandro Arena, Renato Seracchioli
Severity of endometriosis is not correlated with severity of symptoms: Patients with minimal endometriosis can have severe symptoms, while patients with severe anatomical involvement can be completely asymptomatic. The most common pain symptoms are dysmenorrhea, deep dyspareunia, chronic pelvic pain, dyschezia (if bowel is involved) and dysuria (if bladder is involved). In addition to pain symptoms, it is possible to find other bowel and urologic disorders, such as diarrhea, constipation, bowel swelling, rectal tenesmus, rectal bleeding, urinary frequency, bladder tenesmus, urinary urgency and urinary bleeding (4–6).
Miscellaneous
Published in Bobby Krishnachetty, Abdul Syed, Harriet Scott, Applied Anatomy for the FRCA, 2020
Bobby Krishnachetty, Abdul Syed, Harriet Scott
Specific indications Pain syndromes Intractable cancer painRectal tenesmus secondary to malignancyIntractable back painPhantom limb painVascular insufficiency Peripheral arteriosclerosis and claudication pain
Cervical Cancer
Published in Dongyou Liu, Tumors and Cancers, 2017
Elsa Delgado-Sánchez, Enrique García-López, Ignacio Zapardiel
Cervical cancer at the initial stages is usually an asymptomatic illness. When present, the most common symptoms are abnormal genital bleeding, postcoital bleeding, or malodorous discharge. Other symptoms related to advanced stages could be pelvic pain, rectal tenesmus, or leg lymphedema [3].
Anterior abdominal wall parasitic leiomyoma: case report
Published in Gynecological Endocrinology, 2018
María Fernanda Garrido Oyarzún, Adela Saco, Camil Castelo-Branco
A 53 years old woman, multiparous of one, presented at our clinic for a gynecological evaluation with persistent compressive pelvic symptoms, mainly vesical tenesmus, high urinary frequency of small volumes (urination every 2 h), moderate stress urinary incontinence, rectal tenesmus and postprandial abdominal distention. The menstrual cycles were regular with occasional dysmenorrhea and no abnormal uterine bleeding. She had been using an intrauterine device for birth control over the past 7 years. She had no previous abdominal surgeries or other relevant medical data. Speculum examination showed a normal cervix and no vaginal bleeding or discharge. Pelvic examination revealed an irregular palpable mass occupying the pelvis to the level of the umbilicus, and another mass of 5 cm in the Douglas. Both masses were slightly painful during manual mobilization and appear to explain the compressive symptomatology. Results of laboratory examinations were normal.
Surgical management of ill-defined perineal endometriosis involving anal sphincter: a case report
Published in Journal of Obstetrics and Gynaecology, 2022
A 32-year-old female complained of progressive pain and swelling in her perineal region which persisted for two years. Rectal tenesmus and dyspareunia, as well as pain, began on the first day of her menstrual cycle and lasted for two weeks. Her obstetric history is Gravida 2, Para 2, with two episiotomies done during both of her spontaneous deliveries. Her other medical history is uneventful.