Focusing on surgery results in infertile patients with deep endometriosis

Stefano Angioni, Vito Cela, Federica Sedda, Emanuela Stochino Loi, Vito Cofelice, Alessandro Pontis, Gian Benedetto Melis
Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology · 2015 · vol. 31(8) , pp. 595–598 · doi:10.3109/09513590.2015.1062868 · PMID:26172932 · W1872994324
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This review analyzes clinical studies and guidelines on surgical treatment for infertile patients with deep endometriosis to determine pregnancy outcomes after surgery.

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Abstract

Infertility is a common problem in patients with endometriosis and the involved mechanisms are still not completely known. The management of infertility in endometriosis patients includes surgery as well as assisted reproductive technology. Laparoscopic surgery has shown better results in infertility patients with endometriosis in comparison to laparotomy procedures. Laparoscopic surgery has proposed benefits in both minimal to moderate diseases. However, while there may be some benefits with severe diseases, there is still not enough evidence to recommend laparoscopic surgery as the recommended surgery when the main goal is to obtain fertility. We performed a MEDLINE search for articles on fertility in women with deep infiltrating endometriosis (DIE) published between 1990 and April 2015 using the following keywords: "endometriosis", "deep infiltrative endometriosis", "infertility", "fertility after surgery", "laparoscopy surgery", "laparotomy", "pregnancy", "fertility outcome", "bladder endometriosis", and "ureteral endometriosis". The aim of this review was to analyze the results of available clinical studies (randomized controlled or not controlled studies; retrospective cohort studies; or case-control and prospective studies) and guidelines on surgical treatment of infertile endometriosis patients, and pregnancy outcomes after surgery.

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Condition tags

endometriosisdie_deep_infiltratingbladder_endometriosisinfertility

MeSH descriptors

Endometriosis Infertility, Female Intestinal Diseases Laparoscopy Urinary Bladder Diseases Adult Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Intestinal Diseases Intestinal Diseases Laparoscopy Pregnancy Pregnancy Rate Reproductive Techniques, Assisted Treatment Outcome Urinary Bladder Diseases

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 (41)

Cited by (26)

Source provenance

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License: CC0 · commercial use OK