Effect of Anterior Compartment Endometriosis Excision on Infertility
| Autor: | Joao Alves, Gabriele Centini, Giorgia Monti, Errico Zupi, Arnaud Wattiez, Philippe R. Koninckx, Karolina Afors, Lucia Lazzeri, István Argay |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Infertility
Adult medicine.medical_specialty RESECTION SURGERY media_common.quotation_subject Endometriosis Fertility Bladder endometriosis URINARY-TRACT ENDOMETRIOSIS 03 medical and health sciences Pregnancy rate 0302 clinical medicine Pregnancy Operative report medicine FERTILITY Humans Laparoscopy media_common Retrospective Studies DEEP INFILTRATING ENDOMETRIOSIS OUTCOMES Science & Technology 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Medical record WOMEN Retrospective cohort study LAPAROSCOPIC MANAGEMENT Deep endometriosis medicine.disease Surgery 030220 oncology & carcinogenesis SURGICAL-MANAGEMENT Female business Life Sciences & Biomedicine Infertility Female |
| Popis: | BACKGROUND AND OBJECTIVES: Laparoscopic surgical excision of bladder nodules has been demonstrated to be effective in relieving associated painful symptoms; the data are lacking concerning the impact of anterior compartment endometriosis on infertility. We conducted this study to evaluate whether or not the surgical excision of deep endometriosis affecting the anterior compartment plays a role in restoring fertility. METHODS: This multicentre, retrospective study included a group of 55 patients presenting with otherwise-unexplained infertility who had undergone laparoscopic excision of anterior compartment endometriosis with histological confirmation. Patient medical records and operative reports were reviewed. Telephone interviews were conducted for long-term followup of fertility outcomes. RESULTS: The pregnancy rate following surgical excision of endometriotic lesions was 44% (n = 11) among those with anterior compartment involvement alone and 50% (n = 15) in case of posterior lesions association without any significant difference. The symptoms related to bladder endometriosis resolved in the 84.2% of the cases with a recurrence rate of 1.8% at the 2-year followup not requiring further surgery. CONCLUSION: Laparoscopic excision of anterior compartment endometriosis is effective in restoring fertility in patients with otherwise-unexplained infertility and in treating endometriosis-related symptoms. ispartof: JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS vol:22 issue:4 ispartof: location:United States status: published |
| Databáze: | OpenAIRE |
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