Do patients manage to achieve pregnancy after a major complication of deeply infiltrating endometriosis resection?
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This paper investigates pregnancy rates in patients following surgical resection of deeply infiltrating endometriosis complications.
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Abstract
OBJECTIVE: To evaluate the fertility status in women suffering from major postoperative complications following deep endometriosis surgery.
STUDY DESIGN: A 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.
RESULTS: The 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).
CONCLUSION: Fertility 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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Cited by (12)
- Pregnancy and delivery outcomes in women with rectovaginal endometriosis treated either conservatively or operatively 2020
- Laparoscopic Surgery Combined with GnRH Agonist in Endometriosis 2019
- Fertility outcomes in women experiencing severe complications after surgery for colorectal endometriosis 2017
- Deep infiltrating endometriosis affecting the urinary tract-surgical treatment and fertility outcomes in 2004-2013 2016
- Comparison of complete and incomplete excision of deep infiltrating endometriosis 2015
- Adenomyosis and reproductive performance after surgery for rectovaginal and colorectal endometriosis: a systematic review and meta-analysis 2014
- Role of protective defunctioning stoma in colorectal resection for endometriosis 2014
- Ovarian endometriomas and oocyte quality: insights from in vitro fertilization cycles 2014
- [Infected hematoma of Douglas pouch: a specific complication of the surgical excision of deep endometriosis involving the vagina] 2013
- Long Term Surgical Outcomes after Segmental Colorectal Resection in Women with Severe Endometriosis 2012
- Pelvic Endometriosis - A Survey of Knowledge and Practice Among Gynecologists Endometriose Pélvica - Enquete com Médicos Ginecologistas 2012
- Effect of patient selection on estimate of reproductive success after surgery for rectovaginal endometriosis: literature review 2012
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