Retrospective analysis of follicle loss after laparoscopic excision of endometrioma compared with benign nonendometriotic ovarian cysts

Dogan E, Erbil Doğan, Erbil Dogan, Emine Çağnur Ulukuş, Emine Cagnur Ulukus, Ulukus EC, Emre Okyay, Okyay E, Recep Emre Okyay, Caglan Ertugrul, C. Ertugrul, Ertugrul C, Saygili U, Ugur Saygili, Uğur Saygılı, Meral Koyuncuoğlu, Meral Koyuncuoglu, Koyuncuoglu M
International Journal of Gynecology & Obstetrics · 2011 · vol. 114(2) , pp. 124–127 · doi:10.1016/j.ijgo.2011.04.002 · PMID:21683358 · W2078362203
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Laparoscopic excision of endometriomas resulted in slightly higher functional follicle loss compared to benign nonendometriotic ovarian cysts, despite normal ovarian tissue being found adjacent to both.

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Abstract

OBJECTIVE: To evaluate follicle loss in ovarian tissue after laparoscopic excision by the stripping technique in endometriomas versus benign nonendometriotic ovarian cysts. METHODS: Cystectomy samples obtained from 127 ovaries from 104 patients (mean age, 29.05 ± 05 years; range, 19-40 years) by laparoscopic excision (61 endometriomas and 66 benign nonendometriotic cysts) were evaluated for follicle loss. The samples including normal ovarian tissue were graded on a semiquantitative scale from 0 to 4, where 0 was complete absence of follicles and 4 was the pattern of primary and secondary follicles seen in a normal ovary. The results from endometriomas were compared with those from nonendometriotic cysts. RESULTS: There were no differences in mean tissue thickness, or number of primordial, primary, or secondary follicles between the endometriomas and the nonendometriotic cysts (P > 0.05). Ovarian cortex was detected in 92% and 82% of the endometriomas and nonendometriotic samples, respectively, (P = 0.081). Semiquantitative scoring of ovarian tissue was significantly higher in endometriomas (1.64 ± 1.35 versus 1.11 ± 1.22, P = 0.022). CONCLUSION: In up to 92% of the cystectomy samples, normal ovarian tissue was found adjacent to the benign cyst; however, functional follicle loss was slightly, but significantly, higher in the endometriomas.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Laparoscopy Ovarian Cysts Ovarian Follicle Adult Endometriosis Female Humans Laparoscopy Laparoscopy Ovarian Cysts Retrospective Studies Young Adult

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