Laparoscopic treatment of bowel endometriosis in infertile women

Anna Stepniewska, A Stepniewska, Paola Pomini, P. Pomini, Pomini P, F. Bruni, Bruni F, Francesco Bruni, L. Mereu, Liliana Mereu, Giacomo Ruffo, Ruffo G, G. Ruffo, Marcello Ceccaroni, M. Ceccaroni, Scioscia M, M Scioscia, Marco Scioscia, Massimo Guerriero, M Guerriero, L. Minelli, Minelli L, Liliana Minelli
Human Reproduction · 2009 · vol. 24(7) , pp. 1619–1625 · doi:10.1093/humrep/dep083 · PMID:19357136 · W2156177799
Non-randomised trial OA: closed CC0 ⤵ 130 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

This study found that bowel endometriosis negatively impacts fertility and that its complete removal via segmental resection offers improved post-operative pregnancy rates in infertile women.

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Abstract

BACKGROUND: The purpose of the study was to determine the influence of bowel endometriosis on fertility, and to study whether its removal improves fecundity in women with endometriosis-associated infertility. METHODS: Three groups of infertile patients were included in the study. Group A (60 women) consisted of patients who underwent surgery for endometriosis with colorectal segmental resection. In group B, 40 patients with evidence of bowel endometriosis underwent endometriosis removal without bowel resection. Group C consisted of 55 women who underwent surgery for moderate or severe endometriosis with at least one endometrioma and deep infiltrating endometriosis but without bowel involvement. The women were clinically evaluated before laparoscopy and then at 1 month, at 6 months and at each year up to 4 years after surgery. Main outcome measures were surgical complications as well as post-operative pregnancy rate, time to conception and monthly fecundity rate. RESULTS: The monthly fecundity rates (MFR) in groups A, B and C were 2.3, 0.84 and 3.95%, respectively. The difference in the MFR between groups was significant (P < 0.05). CONCLUSIONS: The presence of bowel infiltration by endometriosis seems to negatively influence the reproductive outcome in women with endometriosis-associated infertility. The complete removal of endometriosis with bowel segmental resection seems to offer better results in terms of post-operative fertility.

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Condition tags

endometriosisdie_deep_infiltratingendometriomabowel_endometriosisinfertility

MeSH descriptors

Endometriosis Infertility, Female Intestines Laparoscopy Endometriosis Endometriosis Endometriosis Female Female Fertility Fertility Follow-Up Studies Follow-Up Studies Humans Humans Infertility, Female Infertility, Female Infertility, Female Infertility, Male Infertility, Male

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (49)

Cited by (50)

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