Fertility and clinical outcome after bowel resection in infertile women with endometriosis

Anna Stepniewska, Paola Pomini, Pomini P, Scioscia M, Marco Scioscia, Liliana Mereu, Ruffo G, Giacomo Ruffo, Minelli L, Luca Minelli
Reproductive BioMedicine Online · 2010 · vol. 20(5) , pp. 602–609 · doi:10.1016/j.rbmo.2009.12.029 · PMID:20359953 · W2037601551
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This study investigated fertility and clinical outcomes in infertile women who underwent bowel resection for endometriosis.

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Abstract

Bowel resection for endometriosis improves pain symptoms and quality of life in symptomatic women. However, little is known about fertility after surgery, particularly after such treatment in women suffering from infertility. The aim of the present study was to evaluate post-operative fertility and long-term clinical outcome after laparoscopic colorectal resection for endometriosis in infertile women. This study reports clinical outcomes in 62 infertile women who underwent laparoscopic excision of endometriosis with segmental bowel resection performed for severe intestinal symptoms. Among women younger than 30 years trying to conceive spontaneously, the cumulative pregnancy rate was 58% and the cumulative pregnancy rate was 45% in those aged 30-34 years. The total pain recurrence was 9.7% (six cases) and endometriosis recurrence was diagnosed by ultrasound in 14.5% (nine cases) during the follow-up period. Four of these patients needed further surgery because of severe symptoms. The surgical treatment of bowel endometriosis seems to improve pain symptoms and patients' satisfaction rates, and it could also be indicated in infertile women.

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Condition tags

endometriosis

MeSH descriptors

Colon Endometriosis Infertility, Female Adult Colon Endometriosis Endometriosis Endometriosis Female Humans Infertility, Female Pregnancy

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (47)

Cited by (45)

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