Persistent urinary retention after deep infiltrating endometriosis surgery: to consider modification in patient selection or modification in surgical approach and extent? - An ethical challenge

• Deep Infiltrating Endometriosis (DIE) affects around 20% of women with endometriosis, causing endometriotic lesions that penetrate pelvic structures, leading to symptoms like pelvic pain, digestive issues, and infertility. • Surgery is often required for moderate to severe cases, but it carries the risk of complications, such as persistent urinary retention, which can significantly impact the patient's quality of life. • Balancing the benefits of surgery with the risk of complications is a challenge in achieving optimal outcomes. Surgery for endometriosis aims to remove abnormal tissue and symptoms, but it may damage pelvic nerves, causing urinary retention.