Do patients manage to achieve pregnancy after a major complication of deeply infiltrating endometriosis resection?

William Kondo, Kondo W, Daraï E, Emile Daraï, Émile Daraï, Chadi Yazbeck, Panel P, P. Panel, Pierre Panel, Tamburro S, Stefano Tamburro, S. Tamburro, Jean Dubuisson, Dubuisson J, К. Jardon, Jardon K, Kris Jardon, Mage G, G. Mage, Gérard Mage, Patrick Madélénat, Madelenat P, Patrick Madelenat, Michel Canis
European journal of obstetrics, gynecology, and reproductive biology · 2010 · vol. 154(2) , pp. 196–199 · doi:10.1016/j.ejogrb.2010.09.007 · PMID:20970915 · W2078444487
article OA: closed CC0 ⤵ 12 in-corpus citations
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This paper investigates pregnancy rates in patients following surgical resection of deeply infiltrating endometriosis complications.

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Abstract

ObjectiveTo evaluate the fertility status in women suffering from major postoperative complications following deep endometriosis surgery.Study designA retrospective study in teaching and research hospitals (tertiary centers) including 23 women submitted to the surgical treatment for deep endometriosis and presenting a major postoperative complication. Postoperatively, women desiring pregnancy who conceived were compared to those who did not conceive using Mann-Whitney test and Fisher's exact test. Main outcome measure included the pregnancy rate among these women.ResultsThe overall intrauterine pregnancy rate was 47.8% and the live birth rate was 30.4%. There were 10 spontaneous conceptions and 3 IVF conceptions among 11 patients. Women who did not conceive were older than those who conceived (33.9 vs. 29.3 years; p = 0.02). The pregnancy rate after intestinal complications was lower than after urinary complications (33.3% vs. 83.3%; p = 0.04).ConclusionFertility remains preserved among women experiencing a major complication after removal of deep endometriosis with a live birth rate of 30.4%. Women experiencing bowel complications have a reduced probability of conception compared with those who experience a urologic complication.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Infertility, Female Postoperative Complications Postoperative Complications Pregnancy Rate Adult Endometriosis Female Fistula Fistula Humans Infertility, Female Intestinal Diseases Intestinal Diseases Middle Aged Pregnancy Retrospective Studies Urination Disorders Urination Disorders

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Cited by (12)

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