Conservative surgical treatment of endometriosis.

G B Candiani, Candiani GB, L Fedele, Luigi Fedele, Fedele L, Paolo Vercellini, P Vercellini, Vercellini P
Acta Europaea fertilitatis · 1987 · vol. 17(3) , pp. 173–80 · PMID:3788426 · W2416595425
article OA: closed CC0 ⤵ 3 in-corpus citations
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Conservative surgery for endometriosis significantly reduced dysmenorrhea, deep dyspareunia, and chronic pelvic pain in 102 patients while achieving postoperative birth rates ranging from 37.5% to 68.3% depending on disease stage.

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Abstract

In the period 1979-1983, 102 patients with endometriosis underwent conservative surgery at Ia Clinica Ostetrica e Ginecologica, Milan University. Treatment indications, techniques and results are presented. 34.3% of the women were in stage I, 51% in stage II and 14.7% in stage III of the American Fertility Society classification. Postoperatively, the incidence of dysmenorrhea fell from 63.7% to 15.7%, deep dyspareunia from 53.3% to 17.6% and chronic pelvic pain 21.6% to 11.8%. In 1-6 years' follow-up of the 53 women wanting children, the postoperative birth-rate was 68.3% in stage I patients, 59% in stage II and 37.5% in stage III. Endometriosis treatment is still only symptomatic, and conservative surgery, using atraumatic procedures, should aim at restoring fertility and resolving pain symptomatology.

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Condition tags

dysmenorrheaendometriosischronic_pelvic_paindyspareunia

MeSH descriptors

Endometriosis Adult Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Female Fertility Humans Intestinal Neoplasms Intestinal Neoplasms Methods Middle Aged Ovarian Neoplasms Ovarian Neoplasms Pain Management Peritoneal Neoplasms Peritoneal Neoplasms Postoperative Care Pregnancy

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europepmc
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License: CC0 · commercial use OK