Pelvic pain relief in women with endometriosis after laparoscopic surgery by lateral approach for deep infiltrating endometriosis

Chihiro Minami, Motofumi Yokoyama, Reiko Takeuchi, Nobutaka Hachisuga, Nobuko Yasutake, Yuko Kawamoto, Daisaku Senoh, Naotoshi Honda
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2013 · vol. 29(1) , pp. 257–263 · doi:10.5180/jsgoe.29.257 · W2322579274
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

Laparoscopic surgery by lateral approach for deep infiltrating endometriosis reduced pelvic pain, with low recurrence rates for non-menses pain, lumbago, dyspareunia, and dyschezia at 12 months post-operation.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This original study evaluated pelvic pain outcomes in 28 women with deep infiltrating endometriosis who underwent laparoscopic surgery using a lateral approach, assessing five symptom domains via VAS scores. Dysmenorrhea, non-menses pain, lumbago, dyspareunia, and dyschezia all showed substantial reductions from baseline to 1 month and remained relatively lower at 12 months, though with some variability by symptom. Recurrence within 12 months was reported for dysmenorrhea (38%), non-menses pain (3%), lumbago (13%), dyspareunia (13%), and dyschezia (0%). The main limitation explicitly suggested by the reporting is the small sample size and absence of a comparison group, which restricts interpretation of the outcomes beyond this single surgical approach. This paper is centrally about endometriosis — it focuses on pelvic pain relief after lateral-approach laparoscopic surgery for deep infiltrating endometriosis.

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Abstract

Objective: To examine five types of pelvic pain relief in women with endometriosis after laparoscopic surgery for deep infiltrating endometriosis (DIE)Patients: A total of 28 patients underwent laparoscopic surgery by lateral approach for DIE between February 2010 and April 2012. Main outcome measures: VAS levels of their five subjective symptoms.Results: VAS levels were depicted as follows. The VAS levels of dysmenorrhea were 51±33 (mean ± SD) before surgery, 19±24 at one month post-surgery, and 24±27 at 12 month post-surgery. The VAS levels of non-menses pain were 36±28 before surgery, 17±23 at one month post-surgery, and 19±29 at 12 month post-surgery. The VAS levels of lumbago were 38±28 before surgery, 25±27 at one month post-surgery, and 31±30 at 12 month post-surgery. The VAS levels of dyspareunia were 30±32 before surgery, 9±20 at one month post-surgery, and 11±16 at 12 month post-surgery, The VAS levels of dyschezia were 27±33 before surgery, 8±16 at one month post-surgery , and 9±17 at 12 month post-surgery. The recurrence rates of the five symptoms at 12th months were as follows: dysmenorrhea38%(3/8), non-menses pain3%(1/8), lumbago13%(1/8), dyspareunia13%(1/8) and dyschezia0%(0/8). Conclusion: The recurrence rates of pelvic pain such as non-menses pain, lumbago, dyspareunia, and dyschezia, were low at the 12th postoperative month following laparoscopic surgery by lateral approach to DIE lesion.These result suggest that recurrence rates of the five types of pelvic pain in women with DIE at the12th post-operative month vary, depending on the type.
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Abstract

Objective: To examine five types of pelvic pain relief in women with endometriosis after laparoscopic surgery for deep infiltrating endometriosis (DIE) Patients: A total of 28 patients underwent laparoscopic surgery by lateral approach for DIE between February 2010 and April 2012. Main outcome measures: VAS levels of their five subjective symptoms.

Results

VAS levels were depicted as follows. The VAS levels of dysmenorrhea were 51±33 (mean ± SD) before surgery, 19±24 at one month post-surgery, and 24±27 at 12 month post-surgery. The VAS levels of non-menses pain were 36±28 before surgery, 17±23 at one month post-surgery, and 19±29 at 12 month post-surgery. The VAS levels of lumbago were 38±28 before surgery, 25±27 at one month post-surgery, and 31±30 at 12 month post-surgery. The VAS levels of dyspareunia were 30±32 before surgery, 9±20 at one month post-surgery, and 11±16 at 12 month post-surgery, The VAS levels of dyschezia were 27±33 before surgery, 8±16 at one month post-surgery , and 9±17 at 12 month post-surgery. The recurrence rates of the five symptoms at 12th months were as follows: dysmenorrhea38%(3/8), non-menses pain3%(1/8), lumbago13%(1/8), dyspareunia13%(1/8) and dyschezia0%(0/8).

Conclusion

The recurrence rates of pelvic pain such as non-menses pain, lumbago, dyspareunia, and dyschezia, were low at the 12th postoperative month following laparoscopic surgery by lateral approach to DIE lesion.These result suggest that recurrence rates of the five types of pelvic pain in women with DIE at the12th post-operative month vary, depending on the type. Patients: A total of 28 patients underwent laparoscopic surgery by lateral approach for DIE between February 2010 and April 2012. Main outcome measures: VAS levels of their five subjective symptoms.

Results

VAS levels were depicted as follows. The VAS levels of dysmenorrhea were 51±33 (mean ± SD) before surgery, 19±24 at one month post-surgery, and 24±27 at 12 month post-surgery. The VAS levels of non-menses pain were 36±28 before surgery, 17±23 at one month post-surgery, and 19±29 at 12 month post-surgery. The VAS levels of lumbago were 38±28 before surgery, 25±27 at one month post-surgery, and 31±30 at 12 month post-surgery. The VAS levels of dyspareunia were 30±32 before surgery, 9±20 at one month post-surgery, and 11±16 at 12 month post-surgery, The VAS levels of dyschezia were 27±33 before surgery, 8±16 at one month post-surgery , and 9±17 at 12 month post-surgery. The recurrence rates of the five symptoms at 12th months were as follows: dysmenorrhea38%(3/8), non-menses pain3%(1/8), lumbago13%(1/8), dyspareunia13%(1/8) and dyschezia0%(0/8).

Conclusion

The recurrence rates of pelvic pain such as non-menses pain, lumbago, dyspareunia, and dyschezia, were low at the 12th postoperative month following laparoscopic surgery by lateral approach to DIE lesion.These result suggest that recurrence rates of the five types of pelvic pain in women with DIE at the12th post-operative month vary, depending on the type. © 2013 Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy Favorites & Alerts Recently viewed articles

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Outcome instruments

VAS-pain

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endometriosisdie_deep_infiltratingdysmenorrheadyspareunia

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