Impact of surgery for colorectal endometriosis on postoperative fertility and pregnancy outcomes

Mathilde Lapointe, Lapointe M, Pontvianne M, Mary Pontvianne, Emilie Faller, Émilie Faller, Faller E, Massimo Lodi, Lodi M, Françoise Futcher, Lise Lecointre, Lecointre L, Wattiez A, Arnaud Wattiez, Cherif Akladios, Chérif Akladios
Journal of gynecology obstetrics and human reproduction · 2022 · vol. 51(4) , pp. 102348 · doi:10.1016/j.jogoh.2022.102348 · PMID:35231645 · W4214507353
article OA: closed CC0 ⤵ 2 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper investigated the impact of surgical intervention for colorectal endometriosis on subsequent fertility and pregnancy success rates.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

IntroductionDeep infiltrative endometriosis can lead to infertility with a spontaneous pregnancy rate between 8.7 and 13%. Surgical treatment of bowel endometriosis may improve spontaneous and ART fertility. The aim of this study was to evaluate post-operative fertility according to the surgical technic used (shaving vs. bowel resection).Material and methodA retrospective, monocentric study was carried-out in the University Hospital of Strasbourg, France, from September 2009 to October 2016. All patients with a desire to become pregnant and treated for colorectal deep infiltrating endometriosis were included. Two groups were analyzed and compared: shaving treatment vs. digestive resection (discoid or segmental). The primary outcome was pregnancy rate after surgery. Secondary outcomes were: mode of pregnancy occurrence (spontaneous versus ART), time of onset, term at birth, occurrence of complications during pregnancy.Results94 patients were included (39 had a bowel resection and 55 a shaving). Both groups had similar pre-operative characteristics. The pregnancy rate was 52,1% for the total population with no significant differences between the two groups (p = 0.68). However, we found a significantly higher spontaneous pregnancies rate among the resection group with 73.7% (p = 0,0086). Pregnancy complications occurred in 50% of pregnancies, regardless of the surgical technic used.ConclusionThis study suggests that, for patients with colorectal DIE, surgical treatment improves overall fertility. Furthermore, resection surgery seems to significantly improve the occurrence of spontaneous pregnancies. However, this surgery is not without risks and multidisciplinary discussions and thorough information to the patient are a prerequisite.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Colorectal Neoplasms Colorectal Neoplasms Endometriosis Endometriosis Endometriosis Endometriosis Rectal Diseases Rectal Diseases Female Fertility Humans Infant, Newborn Pregnancy Pregnancy Outcome Retrospective Studies Treatment Outcome

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 (46)

Cited by (3)

Source provenance

europepmc
last seen: 2026-08-06T06:07:45.168820+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:23:57.700195+00:00
License: CC0 · commercial use OK