Laparoscopic surgery for endometriosis: a long-term follow-up

M Tokushige, Tokushige M, Makoto Tokushige, Suginami H, H. Suginami, F Taniguchi, Fumiaki Taniguchi, Taniguchi F, Kitaoka Y, Y. Kitaoka, Yuki 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 Laparoscopy Treatment Outcome Treatment Outcome Adult Adult Dysmenorrhea Dysmenorrhea Dysmenorrhea Dyspareunia Dyspareunia Dyspareunia Endometriosis Endometriosis Female Female Fertility Fertility Humans

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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