Clinical correlations with the Enzian
Previous studies (4) (8) reported the correlations between the Enzian
and pain symptoms in deep endometriosis. Haas et al reported no
combinations of compartments, but choose to report the compartment with
the highest severity: for example, A1B0C3 would become a solitary C in
the analysis. In real life, endometriosis does not respect the
compartment boundaries of the Enzian classification and therefore it is
difficult to translate these findings directly to the clinical symptoms.
Montanari et al performed a similar analysis with a more robust cohort.
Nevertheless, both studies failed to study the solitary compartments and
combinations of compartments in correlation to pain symptoms.
Therefore, our research questions that we addressed are: 1) Which
compartment is responsible for the severity of the different types of
pain? 2) Does pain increase with an increase in compartment involvement.
3) Do specific clinical symptoms correlate with the scoring in the
Enzian.
The primary aim of our study was to find a correlation of the Enzian
score with pain symptoms in DE. Secondly, we wished to determine whether
a correlation exists between the extent of the disease and the reported
intensity of pain (regarding solitary compartments and combinations of
compartments).