Colorectal endometriosis. A proposal of complementary classification and surgical management in stages




Armando Cepeda-Silva, Departamento de Ginecología Quirúrgica, Instituto Nacional de Perinatología, Ciudad de México, México
Harald Krentel, Clinic of Gynecology, Obstetrics, Gynecological Oncology and Senology, Academic Teaching Hospital, Bethesda Hospital, Duisburg, Germany
Oliver P. Cruz-Orozco, Departamento de Ginecología Quirúrgica, Instituto Nacional de Perinatología, Ciudad de México, México
Jorge L. Vela-Cantorán, Departamento de Ginecología Quirúrgica, Instituto Nacional de Perinatología, Ciudad de México, México
Edgar González-Macedo, Departamento de Ginecología Quirúrgica, Instituto Nacional de Perinatología, Ciudad de México, México
Alejandro Rendón-Molina, Departamento de Ginecología Quirúrgica, Instituto Nacional de Perinatología, Ciudad de México, México
José R. Silvestri-Tomassoni, Departamento de Ginecología Quirúrgica, Instituto Nacional de Perinatología, Ciudad de México, México


Objective: To organize the experience and international knowledge in the surgical management and staging of colorectal endometriosis, with a management proposal in stages. Method: An extensive non-systematic review of the literature was carried to organize the disease in stages (limited, intermediate and advanced) according to a scoring system, which considers the characteristics of the endometrioma, the personal history and surgical findings. We tested the proposed staging in a retrospective group of patients. Results: From January 2017 to April 2023, we collected 19 patients with a confirmed diagnosis of colorectal endometriosis, treated laparoscopically, by the same group of surgeons, in whom we found a strong correlation between the stage of the disease and the presence of complications that required reinterventions. Conclusions: We suggest a sequence of colorectal surgical management in stages according to the staging of the disease and we hope that this work will be followed by joint efforts to test it prospectively in order to compare results between hospital centers and make planned decisions.



Keywords: Colorectal endometriosis. Intestinal endometriosis. Deep endometriosis.