MANAGEMENT OF PERINEAL ENDOMETRIOSIS

Objective: To demonstrate the appropriate diagnosis and management of perineal endometriosis. Method: Six patients with perineal endometrios is were diagnosed according to their clinical symptoms and signs which included cyclic perineal pain and a tender perineal mass coinciding w ith the menstrual cycle. Diagnostic tools used included ultrasonograph y, computerized tomography, fine needle aspiration cytology and laparo scopy, Management comprised both surgical and medical treatment. Posto perative follow-up was carried out at 3-monthly intervals. Results: Al l six patients were cured following surgical excision of the endometri oma. Conclusion: A detailed history, thorough pelvic examination and s onographic investigation are essential in diagnosing perineal endometr iosis. The role of other diagnostic tools remains controversial. Treat ment of extrapelvic endometriosis includes surgical intervention and h ormonal suppression. If hormonal suppression fails; surgical excision of the perineal endometrioma should be carried out.