The current management of deep endometriosis: a systematic review

Marina Paula Andres, Marina de Paula Andres, Giuliano M Borrelli, Giuliano Moysés Borrelli, Rosanne M Kho, Mauricio S Abrão, Maurício Simões Abrão
Minerva ginecologica · 2017 · vol. 69(6) , pp. 587–596 · doi:10.23736/s0026-4784.17.04082-5 · PMID:28545293 · W2747854215
review OA: closed CC0 ⤵ 21 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This systematic review of 23 studies found that surgical treatment of deep endometriosis significantly improves quality of life and pain scores, making it the best option for severe pain pending further comparative studies.

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Abstract

INTRODUCTION: Endometriosis is a chronic inflammatory disease that affects young women in reproductive age. It has mainly three different clinical presentations: superficial (peritoneal), ovarian (endometriomas) and deep endometriosis (DE). The last one is the most advanced form of the disease, frequently impairing fertility and harming women's quality of life (QoL). EVIDENCE ACQUISITION: We conducted a systematic review on the surgical treatment of DE in the last ten years focusing on its benefits to improve QoL and for pain relief as well as related surgical complications. EVIDENCE SYNTHESIS: Twenty-three studies were included for qualitative analysis. Overall, included studies showed a relevant improvement in QoL as well as in pain scores using specific questionnaires and the ten-point Visual Analogue Scale (VAS) for pain. CONCLUSIONS: Until further comparative studies regarding medical versus surgical treatment for DE are concluded, currently, surgery is the best option for patients with DE and severe pain (VAS>7).

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Outcome instruments

VAS-pain

Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Pelvic Pain Quality of Life Endometriosis Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Pain Measurement Pelvic Pain Pelvic Pain Postoperative Complications Postoperative Complications Severity of Illness Index Surveys and Questionnaires

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.

Cited by (21)

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License: CC0 · commercial use OK