Hysterectomy in the Surgical Management of Endometriosis
Hysterectomy is a viable treatment for endometriosis-related pelvic pain in severely debilitated women no longer desiring fertility, demonstrating efficiency and patient satisfaction despite potential residual pain.
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This chapter reviews the role of hysterectomy as a surgical option for endometriosis-related chronic pelvic pain, focusing on severely symptomatic patients who no longer want to retain reproductive function. It describes that hysterectomy can be effective and is associated with high patient satisfaction, while also noting that residual pain occurs in a significant subset of cases, even among younger patients, and that decisions about concomitant salpingo-oophorectomy remain debated. A key limitation stated is that the benefit and symptom outcomes are not uniform, with symptom persistence/recurrence highlighted in the broader literature it cites. This paper is centrally about endometriosis — it specifically addresses hysterectomy’s place in the surgical management of endometriosis-related pelvic pain and considerations such as residual symptoms and extent of surgery.
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