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Endometriosis: Treatment of rectovaginal and bowel disease

Nicola Berlanda, MD
Paolo Vercellini, MD
Luigi Fedele, MD
Section Editor
Tommaso Falcone, MD, FRCSC, FACOG
Deputy Editor
Kristen Eckler, MD, FACOG


Endometriosis is the presence of endometrial glands and stroma at extrauterine sites throughout the pelvis and beyond. Endometriosis lesions can be superficial, ovarian, or deep. Endometriosis lesions that invade into the rectovaginal space and/or bowel are forms of deep infiltrating endometriosis (DIE). The invasive nature of these implants causes significant pain, bowel dysfunction, and treatment challenges.

This topic will review the medical and surgical treatment of rectovaginal and bowel endometriosis. General principles of endometriosis, the presentation of rectovaginal and bowel endometriosis, and urinary tract endometriosis (another form of DIE) are presented separately.

(See "Endometriosis: Pathogenesis, clinical features, and diagnosis".)

(See "Endometriosis: Clinical manifestations and diagnosis of rectovaginal or bowel disease".)

(See "Endometriosis of the bladder and ureter".)

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Literature review current through: Nov 2017. | This topic last updated: May 17, 2017.
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