Conclusion
Our study showed that an increase
in pain symptoms does not necessarily lead to an increase in DE
involvement. The symptom dyschezia has some predictive value for
ureteric involvement, and therefore patients with dyschezia should
preferably get an MRI of the pelvis or an ultrasound scan of the
kidneys/ureters for an optimal surgical workup. Already minor dysuria
symptoms can indicate the presence of endometriosis in the bladder. More
and more evidence is showing that pain symptoms in deep endometriosis
have a multifactorial cause, which partly explains the poor correlations
in studies focussing solely on anatomical locations and pain symptoms.