Pain and Fertility Outcomes in Patients Undergoing Cyst Excision Versus Cyst Aspiration in Moderate to Severe Endometriosis: A Case Series

S Shivaprakash, K Geetha, Tanuja Mannepalli, R. Sindhuja
In: South Eastern European Journal of Public Health · 2024 · pp. 1790–1796 · doi:10.70135/seejph.vi.2212 · W4404437624
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This case series compared cyst excision versus aspiration in fourteen patients with moderate to severe endometriosis, finding that excision yielded superior pain relief and higher rates of improved clinical pregnancy outcomes.

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This case series evaluated pain and fertility outcomes in fourteen patients with moderate to severe endometriosis undergoing either cyst excision or cyst aspiration. The study found that patients receiving cyst excision experienced significantly higher rates of pain relief (61% versus 26%) and improved clinical pregnancy outcomes (55% versus 35%) compared to those undergoing cyst aspiration. Although the sample size was small, the results indicate superior efficacy for excision in managing symptoms and enhancing fertility potential. This paper is centrally about endometriosis — specifically comparing surgical management techniques for associated ovarian cysts.

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Abstract

Background: Endometriosis and ovarian cysts are prevalent gynecological disorders characterized by the presence of abnormal tissue growth in the pelvic cavity. Objective: To document the pain and fertility outcomes in patients undergoing cyst excision versus cyst aspiration in moderate to severe endometriosis presenting to a tertiary healthcare facility. Methods: This was a case series conducted in the Department of Obstetrics and Gynecology, Vinayaka Missions Medical College & Hospital, Vinayaka Missions Research Foundation (VMRF, Deemed to be University), Karaikal, Puducherry, India between June 2021 and May 2023 (n=14). Results: The study included 14 patients, divided evenly with 7 undergoing cyst excision and 7 undergoing cyst aspiration. Before surgery, both groups had comparable baseline characteristics in terms of age, symptom severity, and the nature of the ovarian cysts. After surgery, patients who underwent cyst excision showed a higher rate of pain relief compared to those who underwent cyst aspiration (61% versus 26%, respectively). In terms of fertility outcomes, 55% of patients in the cyst excision group achieved improved clinical pregnancy outcomes after surgery, whereas 35% of those in the cyst aspiration group had comparable results. Conclusion: Cyst excision appears to be associated with superior pain relief and faster recovery compared to cyst aspiration in patients with endometriosis or ovarian cysts.
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Background

Endometriosis and ovarian cysts are prevalent gynecological disorders characterized by the presence of abnormal tissue growth in the pelvic cavity.

Objective

To document the pain and fertility outcomes in patients undergoing cyst excision versus cyst aspiration in moderate to severe endometriosis presenting to a tertiary healthcare facility.

Methods

This was a case series conducted in the Department of Obstetrics and Gynecology, Vinayaka Missions Medical College & Hospital, Vinayaka Missions Research Foundation (VMRF, Deemed to be University), Karaikal, Puducherry, India between June 2021 and May 2023 (n=14).

Results

The study included 14 patients, divided evenly with 7 undergoing cyst excision and 7 undergoing cyst aspiration. Before surgery, both groups had comparable baseline characteristics in terms of age, symptom severity, and the nature of the ovarian cysts. After surgery, patients who underwent cyst excision showed a higher rate of pain relief compared to those who underwent cyst aspiration (61% versus 26%, respectively). In terms of fertility outcomes, 55% of patients in the cyst excision group achieved improved clinical pregnancy outcomes after surgery, whereas 35% of those in the cyst aspiration group had comparable results.

Conclusion

Cyst excision appears to be associated with superior pain relief and faster recovery compared to cyst aspiration in patients with endometriosis or ovarian cysts. Downloads Published How to Cite Issue Section License This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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