A stress-free pregnancy?

#DeepInfiltratingEndometriosis #Fertility #ColorectalSurgery #FertilityPreservation #Pregnancy  


Deep infiltrating rectal endometriosis (DIRE) represents an advanced and particularly debilitating form of endometriosis, in which lesions infiltrate the rectal wall. It is often associated with severe digestive symptoms (pain during defecation, constipation, diarrhea, sub-obstructive syndrome) and infertility. For women of reproductive age with a desire for pregnancy, surgical management becomes a major therapeutic and strategic challenge.  

Among available options, segmental rectal resection allows for complete removal of the affected area but involves a more invasive procedure, potentially associated with postoperative functional risks (bowel transit disorders, impaired anorectal function, urinary or sexual complications). In contrast, conservative techniques such as shaving (superficial lesion removal) or discoid resection (targeted excision of infiltrated zones) aim to minimize complications while offering satisfactory disease control, with the goal of preserving both fertility and quality of life.