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Endometriotic lesion associated with nerve fibers
Title: Relationship between endometriotic foci and nerves in rectovaginal endometriotic nodules
Author: V. Anaf, et al.
Address: Brussels, Belgium
Source: Human Reproduction 15:1744-1750 (August) 2000
Summary: Researchers examined the histological relationships between fibrotic tissue, endometriotic foci and nerves in the rectovaginal septum endometriotic or adenomyotic nodule, considered one of the most severe forms of deep endometriosis. Study material consisted of 28 rectovaginal endometriotic nodules from patients presenting with severe dysmenorrhoea and deep dyspareunia. Patients were divided into 2 groups based on their preoperative pain scores for pelvic pain, dysmenorrhoea and deep dyspareunia. Group 1 had a score >7, while group 2 had a score less than 7. The average percentages of nerves located within the fibrosis of the nodule and within endometriotic lesions were significantly higher in group 1 than in group 2. Among nerves located within endometriotic lesions, there was a significantly higher proportion showing intraneurial and perineurial invasion by endometriosis in group 1 than in group 2. In rectovaginal endometriotic nodules, there was a close histological relationship between nerves and endometriotic foci, and between nerves and the fibrotic component of the nodule.
Comment: Research suggests a geographic relationship of nerve fibers and endometriotic lesion to explain an association of pathology and pain.