Patient satisfaction and changes in pain scores after ablative laparoscopic surgery for stage III–IV endometriosis and endometriotic cysts

Jones KD, Kevin D Jones, Kevin Jones, Chris Sutton, Christopher Sutton, Sutton C
Fertility and sterility · 2003 · vol. 79(5) , pp. 1086–1090 · doi:10.1016/s0015-0282(02)04957-9 · PMID:12738500 · W2069859851
article OA: closed CC0 ⤵ 44 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This study investigated patient satisfaction and changes in pain scores following laparoscopic surgery for advanced endometriosis and endometriotic cysts.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

ObjectiveTo document the changes in pain scores 3-12 months following ablative laparoscopic surgery. Secondary outcome measures included patient satisfaction scores.DesignA prospective, cohort study.SettingA tertiary referral center for the treatment of endometriosis.Patient(s)Seventy-three consecutive women with stage III-IV endometriosis and an endometrioma >2 cm.Intervention(s)A laparoscopy was performed. The extraovarian endometriosis was ablated with a CO(2) laser, and the endometrioma capsule was fenestrated then ablated with the potassium-titanic-phosphate (KTP) laser or the Bicap bipolar diathermy.Main outcome measure(s)Pre- and postoperative visual analogue scores for pelvic pain were completed. Patient satisfaction was scored from 1 to 10, with a score of 10 being "most satisfied."Result(s)A total of 73 women with stage III-IV endometriosis and 96 cysts (23 cysts were bilateral). The mean revised American Fertility Society (AFS) score was 65.5 (range 22-128). At 12 months, the mean temporal decrease in the pain score for dyspareunia was 2.14 +/- 0.41; for dysmenorrhea, 1.52 +/- 0.38; and for chronic nonmenstrual pain, 2.37 +/- 0.43. Sixty-four (87.7%) patients were satisfied or very satisfied with the treatment. No surgical complications occurred.Conclusion(s)Laparoscopic ablative surgery for endometriomas in the presence of stage III-IV endometriosis is an effective treatment for relieving pelvic pain.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Cysts Endometriosis Pain Measurement Patient Satisfaction Adult Cohort Studies Cysts Cysts Endometriosis Endometriosis Female Humans Laparoscopy Prospective Studies

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (39)

Cited by (42)

Source provenance

europepmc
last seen: 2026-08-11T06:11:44.160905+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:12:50.257867+00:00
unpaywall
last seen: 2026-08-11T06:58:28.661508+00:00
License: CC0 · commercial use OK