Endometriose: Klinik und Therapie

Chapter

Zusammenfassung

Endometriose ist eine häufige gutartige Erkrankung der Frau, die mit Schmerzen und Sterilität einhergehen kann. Das klinische Erscheinungsbild überschneidet sich stark mit anderen Ursachen des chronischen Unterbauchschmerzes. Die Diagnose soll durch eine Laparoskopie histologisch gesichert werden. Zur Therapie bestehen medikamentöse und operative Optionen, oft ist ein multidisziplinärer Ansatz erforderlich.

Literatur

  1. American Society For Reproductive Medicine (1997) Revised American Society for Reproductive Medicine classification of endometriosis. Fertility and Sterility 67: 817–21CrossRefGoogle Scholar
  2. Dmowski WP1, Lesniewicz R, Rana N, Pepping P, Noursalehi M (1997) Changing trends in the diagnosis of endometriosis: a comparative study of women with pelvic endometriosis presenting with chronic pelvic pain or infertility. Fertil Steril 67(2): 238–43CrossRefPubMedGoogle Scholar
  3. Dunselman GA, Vermeulen N, Becker C et al. (2014) European Society of Human Reproduction and Embryology. ESHRE guideline: management of women with endometriosis. Hum Reprod 29(3): 400–12CrossRefPubMedGoogle Scholar
  4. Ebert AD, Ulrich U, Keckstein J et al. (2013) Endometriosis Research Foundation, and the European Endometriosis League Implementation of certified endometriosis centers: 5-year experience in German-speaking Europe Gynecol Obstet Invest 76(1): 4–9Google Scholar
  5. Hadfield R, Mardon H, Barlow D, Kennedy S (1996) Delay in the diagnosis of endometriosis: a survey of women from the USA and the UK. Hum Reprod 11(4): 878–80CrossRefPubMedGoogle Scholar
  6. Hornstein MD, Gleason RE, Orav J et al. (1993) The reproducibility of the revised American Fertility Society classification of endometriosis. Fertil Steril 59(5): 1015–21PubMedGoogle Scholar
  7. Hudelist G, Fritzer N, Thomas A et al. (2012) Diagnostic delay for endometriosis in Austria and Germany: causes and possible consequences. Hum Reprod 27(12): 3412–6CrossRefPubMedGoogle Scholar
  8. Ling FW (1999) Randomized controlled trial of depot leuprolide in patients with chronic pelvic pain and clinically suspected endometriosis. Pelvic Pain Study Group. Obstet Gynecol 93(1): 51–8CrossRefPubMedGoogle Scholar
  9. Matalliotakis IM, Cakmak H, Fragouli YG, Goumenou AG, Mahutte NG, Arici A (2008) Epidemiological characteristics in women with and without endometriosis in the Yale series. Arch Gynecol Obstet 277(5): 389–93CrossRefPubMedGoogle Scholar
  10. Ruffo G, Scopelliti F, Manzoni A et al. (2014) Long-term outcome after laparoscopic bowel resections for deep infiltrating endometriosis: a single-center experience after 900 cases. Biomed Res Int 2014: 463058Google Scholar
  11. Schweppe, K.-W. (1984) Mortphologie und Klinik der Endometriose. Schattauer, StuttgartGoogle Scholar
  12. Strowitzki T, Marr J, Gerlinger C, Faustmann T, Seitz C (2010) Dienogest is as effective as leuprolide acetate in treating the painful symptoms of endometriosis: a 24-week, randomized, multicentre, open-label trial. Hum Reprod 25(3): 633–41CrossRefPubMedGoogle Scholar
  13. Sutton CJ, Pooley AS, Ewen SP, Haines P (1997) Follow-up report on a randomized controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal to moderate endometriosis. Fertil Steril 68(6): 1070–4CrossRefPubMedGoogle Scholar
  14. Tuttlies F, Keckstein J, Ulrich U et al. (2005) Der ENZIAN-Score, eine Klassifikation der tief infiltrierenden Endometriose. Zentralbl Gynakol. 127(5):275–281.Google Scholar
  15. Ulrich U, Buchweitz O, Greb R et al. (2013) Interdisciplinary S2k Guidelines for the Diagnosis and Treatment of Endometriosis: Short Version - AWMF Registry No. 015-045. Geburtshilfe Frauenheilkd 73(9): 890–898CrossRefPubMedCentralPubMedGoogle Scholar
  16. Ulrich U, Schmidt D, Wardelmann E et al. (im Druck) Endometriose-assoziierte Malignome. Der Gynäkologe (im Druck)Google Scholar
  17. Urbach DR, Reedijk M, Richard CS, Lie KI, Ross TM (1998) Bowel resection for intestinal endometriosis. Dis Colon Rectum 41(9): 1158–64CrossRefPubMedGoogle Scholar
  18. Vercellini P, Crosignani PG (1992) Epidemiology of endometriosis. In: Brosens I, Donnez J (1992) The current status of endometriosis – research and management. Parthenon, Carnforth, Pearl RiverGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Praxisklinik am RosengartenMannheimDeutschland

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