{"paper_id":"c66ea98e-8b80-41f6-a688-8bb67efa9063","body_text":"Abstract\nPurpose\nThis is a retrospective cohort study that evaluates the postoperative pain findings of a consecutive series of laparoscopic surgeries for deep endometriosis (DE).\nMethods\nThis multi-center retrospective cohort study was carried out in university hospitals (Istanbul, Turkey). Sixty-five patients diagnosed through bimanual gynecologic examination, gynecologic ultrasound or magnetic resonance imaging-confirmed endometrioma and DE together; who underwent a laparoscopic surgery between 2013 and 2019 by a team of gynecologists, colorectal surgeons, and a urologist were retrospectively evaluated. The data were collected in a specific database and analyzed for postoperative pain outcomes through a comparison with preoperative symptoms scored using a visual analogue score (VAS), and the British Society of Gynecologic Endoscopy (BSGE) pelvic pain questionnaire.\nResults\nSixty-five patients who met the criteria were included. The mean age of all patients was 35.0 ± 6.3 (range 22–50) years. The mean operative time was 121.3 ± 50.2 (range, 60–270) minutes. Preoperative and postoperative comparison of VAS scores for dysmenorrhea (8.57 vs. 2.91), dyspareunia (6.62 vs. 1.66), dyschezia (7.46 vs. 2.43), dysuria (5.67 vs. 1.34), chronic pelvic pain (4.11 vs. 1.22), and BSGE score (40.98 vs. 11.00) showed significantly reduced pain scores, respectively (p < 0.01).\nConclusion\nLaparoscopic management of DE is a valid treatment option in terms of reduced postoperative pain and increased quality of life according to pain score outcomes. 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The first draft of the manuscript was written by EB, MS and AD and all authors commented on previous versions of the manuscript. ST and SO worked in data collection and editing of the manuscript. Final editing was made by EB and HGC. All authors read and approved the final manuscript.\nCorresponding author\nEthics declarations\nConflict of interest\nDrs. Bastu, Goksever Celik, Ozaltin, Yasa, Kocyigit, Tas, Yozgatli, Soylu, Durbas, Gorgen and Buyru declare that they have no conflicts of interest.\nAdditional information\nPublisher's Note\nSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.\nRights and permissions\nAbout this article\nCite this article\nBastu, E., Celik, H.G., Kocyigit, Y. et al. Improvement in quality of life and pain scores after laparoscopic management of deep endometriosis: a retrospective cohort study. Arch Gynecol Obstet 302, 165–172 (2020). https://doi.org/10.1007/s00404-020-05583-6\nReceived:\nAccepted:\nPublished:\nVersion of record:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-020-05583-6","source_license":"CC0","license_restricted":false}