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Session: ePoster: Benign Abdominal 7 (Mon1015)

EP678 - Development and Applicability of a Score for Quantification of Coloproctological Symptoms in Bowel Endometriosis

Monday, May 12, 2025
10:20 AM – 10:25 AM PT
All of the relevant financial relationships listed below have been mitigated.
Lara Burlamaqui Veras: This individual has no financial relationships with ineligible companies.
Carolina Vannucci Vasconcellos: This individual has no financial relationships with ineligible companies.
Image or Table (Do Not add text here):

Purpose/Background: Introdução: The presence of endometrial tissue in the bowel is present among 5,3 to 12% of the patients with endometriosis. Some structures can be affected by the endometriosis, including the rectum/sigmoid and pelvic nerves, like splanchnic nerves and hypogastric nerve, which may cause symptoms, like visceral pain in the abdominopelvic region, abdominal distension, tenesmus, proctalgia, dyschezia, dyspareunia, and autonomic symptoms, like syncope, tachycardia, nausea, vomit, for example. There is no objective way in the literature to quantify these common symptoms in bowel endometriosis.

Objective: Create a score to evaluate the most common autonomic and coloproctological symptoms in patients with bowel endometriosis and use it as a mechanism to facilitate the assessment of postoperative improvement in these patients.

Methods/Interventions: Methodology: 28 patients that underwent the surgical treatment for endometriosis between 2019 and 2024 in a tertiary hospital in Fortaleza, Brazil, were contacted, and the frequency of the following symptoms was questioned pre- and post-surgery: abdominopelvic pain, dyschezia, dyspareunia, more than 3 days between defecation, evacuatory urgency, physiosis, tenesmus, feeling of incomplete evacuation, proctalgia and autonomic symptoms. These symptoms were rated based on its frequency (never - 0, rare - 1, sometimes - 2, often - 3, every time - 4). Rates from 0 to 13 were considered mild symptoms, from 14 to 26 moderated symptoms and from 27 to 40 severe symptoms. The impact on quality of life increased along with the rates.

Results/Outcomes:

Results: The rates are displaced in the following model for each symptom and for the sum of scores in each patient: Mean ± stantard deviation (median), before and after the surgery, respectively, the p value of each category is also shown. abdominopelvic pain 3.64 ± 0.68 (4.00), 1.21 ± 1.29 (1.00) p< 0.001; dyschezia 3.04 ± 1.35 (4.00), 1.43 ± 1.48 (1.00) p=0.002 ; dyspareunia 3.07 ± 1.39 (4.00), 1.21 ± 1.42 (1.00) p< 0.001; more than 3 days between defecation 2.64 ± 1.73 (4.00), 1.61 ± 1.77 (1.00) p=0.029; evacuatory urgency 1.11 ± 1.50 (0.00), 0.50 ± 1.14 (0.00) p=0.047; physiosis 3.21 ± 1.23 (4.00), 1.39 ± 1.45 (1.00) p< 0.001; tenesmus 2.36 ± 1.54 (3.00), 1.32 ± 1.56 (1.00) p=0.05; feeling of incomplete evacuation 2.43 ± 1.69 (3.00), 1.82 ± 1.63 (2.00) p=0.168; proctalgia 1.68 ± 1.54 (2.00), 1.18 ± 1.28 (1.00) p=0.128; autonomic symptoms 1.96 ± 1.50 (2.00), 0.96 ± 1.04 (1.00) p=0.001; sum of the scores 25 ± 8 (27), 13 ± 8 (12) p< 0.001.

Conclusion/Discussion:

Conclusion: The sum of the scores reduced significantly after de surgery, except for the symptoms of proctalgia and feeling of incomplete evacuation. This shows the importance of the symptom assessment to measure the quality of life in each patient. Creating a score to assess and quantify the coloproctological and autonomic symptoms is necessary to improve the symptom control in the postoperative among patients with bowel endometriosis.