A 34-year-old woman with deep infiltrating endometriosis of the rectovaginal septum is planned for surgical excision. The ENDOCARE classification describes which extent of disease?

• A Revised ASRM stage IV endometriosis
• B Endometriosis of rectovaginal septum and vagina ✓
• C Any endometriosis involving the bowel regardless of depth
• D Endometriosis with bilateral endometriomas exceeding 4 cm

Explanation

The ENZIAN/ENDOCARE classification specifically describes deep infiltrating endometriosis (DIE) with focus on the posterior compartment. Rectovaginal septum and vaginal involvement are classified in the ENZIAN system as 'F' (posterior rectovaginal septum and vagina involvement). The revised ASRM classification does not adequately describe DIE extent. The ENDOCARE initiative aimed to standardize DIE classification for surgical planning. Bowel endometriosis without vaginal/rectovaginal involvement is classified differently.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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