Long-Term Mental and Physical Quality of Life after Radical and Conservative Surgeries and in Relation to Childbirth in Patients with Severe Endometriosis

Enrico Betto, Cristina Zarbo, Apollonia Verrengia, Chiara Malandrino, Rita Secomandi, Gaetano Trezzi, Chiara Bosisio, Massimo Rabboni, Angelo Compare, Luigi Frigerio
In: Journal of Womens Health, Issues and Care · 2017 · vol. 6(6) · doi:10.4172/2325-9795.1000290 · W2784297233
article OA: closed CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Radical surgery for severe endometriosis improved long-term bodily pain, general health, and vitality more than conservative surgery, while childbirth after conservative surgery positively impacted vitality and emotional well-being.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-09 · read from full text ⓘ

This study investigated long-term mental and physical quality of life in 79 women with severe endometriosis who underwent either radical or conservative surgery, using a semistructured interview and the SF-36. In hierarchical multiple linear regression, the surgery group accounted for significant variability in bodily pain (10.7%), general health (7.2%), and vitality (7.9%) independent of age and months since surgery, and childbirth after conservative surgery was associated with differences in vitality and role emotional outcomes. A key limitation is that the abstract describes variance explained by surgery without detailing sample selection, randomization, or other potential confounders beyond age and time since surgery. This paper is centrally about endometriosis — it compares long-term quality of life after radical versus conservative surgery in severe endometriosis and evaluates how childbirth relates to outcomes.

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Abstract

Aim: This study aimed to investigate which surgery (conservative, radical) is the most effective in improving quality of life and if childbirth after conservative one affects outcomes. Method: 79 women who underwent radical or conservative surgery for severe endometriosis were assessed by means of a semistructured interview and completed the SF-36. Results: Our findings showed that in the whole model of Hierarchical multiple linear regression analyses, surgery group explained significantly 10.7% of variance for bodily pain, 7.2% for general health, and 7.9% for vitality, independently of age and months spent since surgery. Groups of childbirth differed significantly for vitality (p .018, Cohen’s d .939) and role emotional (p .034, Cohen’s d .786). Discussion: Findings suggested that women with endometriosis who underwent radical surgery showed better quality of life in long term, independently of age and time spent since treatment. Moreover, women who gave birth to a child had a better mental quality of life, especially concerning vitality and role limitations due to emotional problems.
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Abstract

Aim: This study aimed to investigate which surgery (conservative, radical) is the most effective in improving quality of life and if childbirth after conservative one affects outcomes.

Method

79 women who underwent radical or conservative surgery for severe endometriosis were assessed by means of a semistructured interview and completed the SF-36.

Results

Our findings showed that in the whole model of Hierarchical multiple linear regression analyses, surgery group explained significantly 10.7% of variance for bodily pain, 7.2% for general health, and 7.9% for vitality, independently of age and months spent since surgery. Groups of childbirth differed significantly for vitality (p .018, Cohen’s d .939) and role emotional (p .034, Cohen’s d .786).

Discussion

Findings suggested that women with endometriosis who underwent radical surgery showed better quality of life in long term, independently of age and time spent since treatment. Moreover, women who gave birth to a child had a better mental quality of life, especially concerning vitality and role limitations due to emotional problems.

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endometriosis

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last seen: 2026-06-10T17:14:06.276822+00:00
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