Abstract

Laparoscopic resection for posterior DIE (deeply infiltrating endometriosis) lesions is frequently difficult and time-consuming, and sometimes, will result in serious post-operative complications. One of the complications is post-operative bladder dysfunction. Patient may suffer from loss of bladder fullness sensation, or voiding difficulty. The main reason is the nerve injury during the radical excision for bilateral USL (uterosacral ligament) DIE lesions. In this video, we will demonste the important pelvic neuroanatomy landmarks, and the technique of nerve-sparing radical excision, focusing on the radicality, and the careful preservation of pelvic nerves.

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