Laparoscopic Surgery for Endometriosis: A Long Term Follow‐Up

Makoto Tokushige, M Tokushige, H Suginami, F Taniguchi, Fumiaki Taniguchi, Yuki Kitaoka, Y Kitaoka
Journal of Obstetrics and Gynaecology Research · 2000 · vol. 26(6) , pp. 409–416 · doi:10.1111/j.1447-0756.2000.tb01350.x · PMID:11152325 · W2065534931
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Laparoscopic complete resolution of endometriosis improved postoperative fecundity and reduced dysmenorrhea and dyspareunia in affected women.

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Abstract

OBJECTIVE: To investigate if complete resolution of endometriosis by laparoscopic surgery is beneficial to postoperative fecundity, dysmenorrhea and dyspareunia. DESIGN: An observational comparative study on the outcome of laparoscopic surgery. PATIENTS: Laparoscopically-treated symptomatic women with endometriosis (total n = 236); complete (n = 185) and incomplete (n = 51) surgery groups. MEASUREMENTS: Postoperative fecundity and symptom reduction. RESULTS: With whole populations, no surgical completeness-related difference was observed in cumulative pregnancy rates during the postoperative days 0-400 (cycle fecundity rate = 0.0319). Further accumulation of pregnant cases was followed in the complete surgery group (final cumulative pregnancy rate = 80%), but not in the counterpart group (p = 0.003). The similar result was obtained when only r-AFS classification stages III and IV were compared (p = 0.007). No r-AFS stage-related difference was observed in cumulative pregnancy rates when only patients of complete surgery were selected for comparison. The surgery reduced dysmenorrhea (84.7%) and dyspareunia (80.0%). CONCLUSIONS: Laparoscopic conservative surgery for endometriosis, especially when it is complete, increases fecundity and reduces disease-related symptoms, such as dysmenorrhea and dyspareunia.

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Condition tags

dysmenorrheadyspareuniaendometriosis

MeSH descriptors

Endometriosis Laparoscopy Treatment Outcome Adult Dysmenorrhea Dysmenorrhea Dyspareunia Dyspareunia Endometriosis Female Fertility Humans 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.

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