{"id":11900,"date":"2016-04-15T10:08:36","date_gmt":"2016-04-15T08:08:36","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=11900"},"modified":"2021-04-20T18:05:36","modified_gmt":"2021-04-20T16:05:36","slug":"gynecologie-prise-en-charge-multidisciplinaire-de-lendometriose-au-chu-de-poitiers","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/gynecologie-prise-en-charge-multidisciplinaire-de-lendometriose-au-chu-de-poitiers\/","title":{"rendered":"Gyn\u00e9cologie : prise en charge multidisciplinaire de l’endom\u00e9triose au CHU de Poitiers"},"content":{"rendered":"Au sein du centre, les dossiers des patientes sont discut\u00e9s en r\u00e9unions pluridisciplinaires afin de confronter les avis des m\u00e9decins de la fertilit\u00e9, des chirurgiens gyn\u00e9cologues et des radiologues. Les conclusions de ces r\u00e9unions sont ensuite transmises aux m\u00e9decins traitants et aux gyn\u00e9cologues assurant le suivi de ces patientes. L’\u00e9quipe m\u00e9dicale travaille \u00e9galement en collaboration avec les praticiens de\u00a0l\u2019unit\u00e9 de procr\u00e9ation m\u00e9dicalement assist\u00e9e<\/a> (PMA), les radiologues de ville, les gastro-ent\u00e9rologues qui r\u00e9alisent les \u00e9cho-endoscopie rectales et, dans le cas d’une intervention chirurgicale, avec les chirurgiens urologues et visc\u00e9raux.<\/p>\n

Cette organisation de concertation permet d\u2019appr\u00e9hender et de r\u00e9soudre au mieux toutes les probl\u00e9matiques que les femmes souffrant d\u2019endom\u00e9triose peuvent rencontrer sur le plan m\u00e9dicochirurgical, notamment les probl\u00e8mes li\u00e9s \u00e0 la f\u00e9condit\u00e9. Les \u00e9changes transversaux avec l’unit\u00e9 de procr\u00e9ation m\u00e9dicalement assist\u00e9e permettent, en effet, un meilleur accompagnement des projets de grossesse des couples.<\/p>\n\n\n\n
\"Endom\u00e9triose\"
Endom\u00e9triose<\/figcaption><\/figure>\n

L’endom\u00e9triose c’est quoi ?<\/strong><\/p>\n

L\u2019endom\u00e8tre est le tissu qui tapisse l\u2019ut\u00e9rus. Sous l\u2019effet des hormones, au cours du cycle, l\u2019endom\u00e8tre s\u2019\u00e9paissit en vue d\u2019une potentielle grossesse et, s\u2019il n\u2019y a pas f\u00e9condation, il se d\u00e9sagr\u00e8ge et saigne. Ce sont les r\u00e8gles. Chez la femme qui a de l\u2019endom\u00e9triose des cellules vont remonter et migrer via les trompes. Le tissu semblable au tissu endom\u00e9trial qui se d\u00e9veloppe hors de l\u2019ut\u00e9rus\u00a0 provoque alors des l\u00e9sions, des adh\u00e9rences et des kystes ovariens dans les organes colonis\u00e9s. Cette colonisation, si elle a principalement lieu sur les organes g\u00e9nitaux et le p\u00e9ritoine peut fr\u00e9quemment s\u2019\u00e9tendre aux appareils urinaire, digestif, et plus rarement pulmonaire. Lorsqu\u2019on les interroge, la plupart des femmes atteintes s\u00e9v\u00e8rement par cette maladie se plaignent d\u2019avoir souffert depuis la pubert\u00e9 de douleurs gyn\u00e9cologiques. La douleur parfois invalidante peut entra\u00eener une incapacit\u00e9 totale ou partielle pendant quelques jours, voire, pour les cas les plus s\u00e9v\u00e8res, permanente, n\u00e9cessitant le recours \u00e0 des antalgiques puissants et m\u00eame morphiniques.<\/p>\n

Aujourd\u2019hui, l\u2019endom\u00e9triose est diagnostiqu\u00e9e, souvent par hasard, avec un retard moyen de cinq ann\u00e9es, durant lesquelles la maladie a eu le temps de causer des dommages notables \u00e0 diff\u00e9rents organes. Il n\u2019existe pas aujourd\u2019hui de traitements d\u00e9finitifs de l\u2019endom\u00e9triose, m\u00eame si la chirurgie et l\u2019hormonoth\u00e9rapie peuvent endiguer l\u2019\u00e9volution de cette maladie durant plusieurs mois ou ann\u00e9es selon les cas.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n
\n

Plus d’informations sur le site d\u00e9di\u00e9 au service de gyn\u00e9cologie du CHU de Poitiers.<\/a><\/p>\n

Retrouvez les recommandations de bonne pratique de la Haute autorit\u00e9 de sant\u00e9 pour la prise en charge de l\u2019endom\u00e9triose : \u00ab\u00a0D\u00e9marche diagnostique et traitement m\u00e9dical<\/a>\u00a0\u00bb et \u00ab\u00a0Traitement chirurgical et fertilit\u00e9<\/a>\u00ab\u00a0.<\/p>\n

Pour toute information compl\u00e9mentaire : www.endofrance.org<\/a><\/p>\n

Rendez-vous consultation gyn\u00e9cologie : 05 49 44 44 56.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n[:]\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Gr\u00e2ce \u00e0 son centre r\u00e9gional pluridisciplinaire de l\u2019endom\u00e9triose, le CHU de Poitiers prend en charge les patientes souffrant de cette pathologie.\u2026","protected":false},"author":1,"featured_media":11902,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[45,1],"tags":[],"class_list":["post-11900","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gynecologie-obstetrique","category-uncategorized"],"acf":[],"yoast_head":"\nGyn\u00e9cologie : prise en charge multidisciplinaire de l'endom\u00e9triose au CHU de Poitiers - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/gynecologie-prise-en-charge-multidisciplinaire-de-lendometriose-au-chu-de-poitiers\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gyn\u00e9cologie : prise en charge multidisciplinaire de l'endom\u00e9triose au CHU de Poitiers - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Gr\u00e2ce \u00e0 son centre r\u00e9gional pluridisciplinaire de l\u2019endom\u00e9triose, le CHU de Poitiers prend en charge les patientes souffrant de cette pathologie. 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Cette maladie gyn\u00e9cologique chronique, g\u00e9n\u00e9ralement complexe et r\u00e9cidivante, touche une femme sur dix en \u00e2ge de procr\u00e9er. Elle se caract\u00e9rise par la pr\u00e9sence de cellules d'origine ut\u00e9rine en dehors de l'ut\u00e9rus qui r\u00e9agissent aux hormones lors des cycles menstruels entra\u00eenant douleurs et saignements. \u00ab Je rencontre de nouvelles patientes tous les jours, indique le Pr Xavier Fritel, chirurgien dans le service de gyn\u00e9cologie-obst\u00e9trique du CHU et responsable du centre. 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