COMPLEX ASSESSMENT OF REPRODUCTIVE HEALTH IN PATIENTS WITH EXTERNAL GENITAL ENDOMETRIOSIS AFTER SURGERY

Yu. A. Zakirova, E. Yu. Babaeva, Mekan R. Orazov, D.G. Aryutin
In: Human. Sport. Medicine · 2016 · vol. 16(4) , pp. 32–42 · doi:10.14529/hsm160404 · W3175754230
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This study assessed reproductive health in 85 women after laparoscopic surgery for external genital endometriosis, finding significant associations between endometriosis severity, pelvic pain, asthenic body type, and emotional/behavioral disorders.

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Abstract

Aim. Complex assessment of reproductive health in patients with external genital endometriosis after surgery. Materials and Methods. The study involved 55 women of childbearing age who received treatment in the department of gynecology of Bauman City Clinical Hospital № 29 and 30 women observed in Central Clinical Hospital № 6. In 2014–2016 the patients underwent laparoscopic surgery for external genital endometriosis. External genital endometriosis of different extent and severity (according to R-AFS) was diagnosed and confirmed using laparoscopic and morphologic assessment methods. 70 patients underwent endometrioma nucleation, and 15 patients with retrocervical endometriosis were subjected to excision of endometrioma with mobilization of the anterior wall of the colon as well as coagulation of endometrioid heterotopias of various sites; all patients were subjected to adhesiolysis. Results. 48 (64%) patients had III–IV stage endometriosis. In 20% endometriosis was diagnosed during surgery. Anthropometric indicators were mostly associated with asthenic type. Emotional and behavioral disorders were observed in 25 (33.3%) patients with tendency to hysterical personality disorder; the rest had mood swing and liability to depression. In less than 60% of patients the severity of endometriosis was significantly related to pelvis pain intensity. The majority of patients were women of asthenic type and with expressed pain syndrome, and hysterical personality disorder according to Beck scale. Conclusion. Individual assessment of pain, anthropometric and personal traits in patients together with complex assessment of morphologic and anatomic changes in reproductive organs make it possible to see a real pattern of disease and condition in women with external genital endometriosis, which helps in choice of surgery volume and appropriate medical treatment.

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endometriosisendometrioma

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