Riiskjaer et al reported the Bowel Endometriosis Syndrome (BENS) score for evaluating a woman with endometriosis. This can help to identify pelvic organ dysfunction and to evaluate the patient's quality of life. The authors are from Aarhus University, Copenhagen University Hospital and Herlev University Hospital in Denmark.
Patient selection: woman with endometriosis
Parameters:
(1) pelvic pain
(2) use of analgesics for pain
(3) dyschezia (constipation with defective reflex for defecation and/or pain)
(4) straining to urinate
(5) fecal urgency
(6) satisfaction with sexual life
Parameter
Findings
Points
pelvic pain
none
0
mild
2
moderate
6
severe
8
use of analgesics
<= 1 day per week
0
more than one day per week but not everyday
4
everyday
7
dyschezia
no pain
0
mild
1
moderate
2
severe
2
straining to urinate
never
0
occasionally
3
often
4
fecal urgency
never
0
less than once a week
1
once a week or more
2
sexual satisfaction
satisfied
0
neither satisfied nor dissatisfied
2
dissatisfied
5
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 28
• The higher the BENS score the worse the woman's quality of life.
Score
BENS
0 to 8
none
9 to 16
minor
17 to 28
major
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