OBJECTIVE: To retrospectively evaluate the clinical features, perioperative findings, and long-term outcomes of patients who underwent bowel resection for intestinal endometriosis, and to clarify diagnostic and therapeutic challenges with t…
AIM: To evaluate the incidence of tubo-ovarian abscess (TOA) in patients with ovarian endometrioma (OE) undergoing infertility treatment and to describe treatment approaches and clinical outcomes, including transvaginal ultrasound-guided dr…
Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) is a congenital disorder characterized by dysplasia of the uterus and upper vagina due to Müllerian duct dysplasia. Fibroids arise from the rudimentary uterus. The implementation of surgical i…
INTRODUCTION: While intestinal obstruction is common, intestinal endometriosis is relatively rare, making its etiology still poorly understood. We report a case of rectal obstruction caused by intestinal endometriosis with a frozen pelvis, …
AIM: Diffuse uterine leiomyomatosis (DUL) is characterized by numerous uterine leiomyomas within and diffusely replacing the myometrium. However, because of its rarity, the prevalence, diagnostic criteria, and standard treatment for patient…
BACKGROUND: Classifying uterine fibroid using the International Federation of Gynecology and Obstetrics (FIGO) classification system assists treatment decision-making and planning. This study aimed to study whether different fibroid locatio…
BACKGROUND: The oral gonadotropin-releasing hormone antagonist relugolix, which temporarily stops menstruation, is used to treat heavy menstrual bleeding, pelvic pressure, and low back pain in women with uterine fibroids. Treatment can also…
Pyomyoma is an extremely rare complication, defined as an infection of a uterine leiomyoma. We describe two cases of pyomyoma that were initially considered to be tubo-ovarian abscesses but were later diagnosed as pyomyomas and managed with…
AIM: We aimed to describe the clinical presentation, operative or medical management, and postoperative recurrence of bladder endometriosis (BE). METHODS: We conducted a national survey to investigate BE cases from 2006 to 2016 in Japan. H…
The aim of this publication is to disseminate the clinical practice guidelines for the treatment of intestinal, bladder/ureteral, thoracic and umbilical endometriosis, already published in Japanese, to non-Japanese speakers. For developing …
PURPOSE: To compare the effects of preoperative dienogest (DNG) and gonadotropin-releasing hormone (GnRH) agonist administration on the improvement of preoperative symptoms and surgical outcomes in patients who underwent laparoscopic cystec…
STUDY OBJECTIVE: To identify the clinical presentation, diagnostic evaluation, operative or medical management, and postoperative recurrence of umbilical endometriosis. DESIGN: A retrospective national survey. SETTING: Obstetrics and Gyne…
AIM: A multicenter, retrospective survey was conducted in order to investigate the current clinical status of adenomyosis in Japan. METHODS: The questionnaires covered the management of infertile women with adenomyosis and the outcomes of …
PURPOSE: To investigate the impact of adenomyosis on the complications and outcomes of pregnancy in Japan. METHODS: We carried out a multicenter retrospective questionnaire survey. A questionnaire regarding pregnancy complications and the …
BACKGROUND/AIMS: Despite the benefits of laparoscopic surgery, which is being performed with increasing frequency, complications that do not occur during laparotomy are sometimes encountered. Such complications commonly occur during the ini…
BACKGROUND: Ovarian endometriomas affect a substantial proportion of women of reproductive age who may have a potential risk of diminished ovarian reserve (DOR) after ovarian cystectomy. Here, we investigated the risk factors for pre-surgic…
症例は34歳,女性.開腹歴はなく,30歳時に子宮内膜症の診断を受けたことがあった.腹痛を主訴に前医を受診し,腸閉塞の診断で入院となり,イレウス管による保存的治療が施行された.小腸造影検査で回腸末端に狭窄像を認め,骨盤MRI検査では腸管子宮内膜症による小腸狭窄が強く疑われた.腸閉塞症状が軽快した後,精査加療目的で当院に紹介となった.回腸子宮内膜症に対してホルモン療法後に,腹腔鏡下手術を施行した.腹腔内を観察すると後膣円蓋と直腸前壁に子宮内膜症による軽度の癒着を認めた.また,回腸…
Study question: To compare the pregnancy rate in patients submitted to FET (Frozen Embryos Transfer) of cleavage stage embryos (Group 1), or at the blastocyst stage (Group 2). Summary answer: Our data showed that the transfer of frozen blas…
AIM: The rate of oocyte decline follows a biphasic pattern, characterized by acceleration between 32 and 38 years old. Ovarian reserve is also affected by external factors, including ovarian disease and iatrogenic damage. The aim of this st…