osis is a viable minimally invasive procedure which results in significantreduction of symptom scores long term.

Supported By: No support.

P-104

Perineal endometriosis, surgical condition and primary sphinctero-plasty. A case report. J. P. Perez, M. V. Gonzalez, G. R. Poceros, G. B.Villa. American British Medical Ctr I A P, Mexico, Mexico.

Objectives: Endometriosis has been related with the presence of pain andinfertility in about 10% of the general population. The perineal topography

is very unusual and the therapeutical management is poor. The objective ofthe present study is to demonstrate the perinoplasty as a coadjutant surgicaltreatment in the perineal endometriosis.

Materials/Methods: A 39 year old non-smoking patient manifested cyclicperineal pain related with the menses as a main symptom. A perineal biopsywas done and the endometriosis was confirmed under histopathologic study.The resection of the present lesion was realized and included a primaryperinoplasty.

Results: The recovery was successful.Conclusions: The symptomatology of the patient was resolved satisfac-

torily.Supported By: None reported.

FERTILITY & STERILITY� S55