LAUSR

Key Points Question Does the Deep Pelvic Endometriosis Index (dPEI) magnetic resonance imaging (MRI) score accurately predict operation time, hospital stay, and postoperative complications in a cohort of women undergoing surgery for deep pelvic endometriosis (DPE)? Findings In this multicenter cohort study that included 605 adults, operating time and hospital stay were significantly longer for women with severe DPE compared with moderate DPE and for moderate DPE compared with mild DPE. Patients with severe disease were 3.6 times more likely to experience severe complications than those with mild or moderate disease, and lateral locations were associated with a higher likelihood of complications. Meaning The findings of this study suggest that clinical application of the dPEI MRI score may assist all clinicians involved in the decision-making process, enabling surgeons to fully inform patients and prepare for the surgical procedure in an optimal manner.