Reproductive performance in infertile women with rectovaginal endometriosis: Is surgery worthwhile?

Paolo Vercellini, Pietropaolo G, Giuliana Pietropaolo, Olga De Giorgi, Raffaella Daguati, Daguati R, Roberta Pasin, Pasin R, Pier Giorgio Crosignani, Crosignani PG
American journal of obstetrics and gynecology · 2006 · vol. 195(5) , pp. 1303–1310 · doi:10.1016/j.ajog.2006.03.068 · PMID:16707075 · W2050438323
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This paper investigates the impact of surgical intervention on reproductive outcomes for women experiencing infertility due to rectovaginal endometriosis.

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Abstract

ObjectiveThis study was undertaken to ascertain whether the incidence of pregnancy is increased and time-to-conception is reduced in infertile women with rectovaginal endometriosis undergoing conservative surgery compared with those on expectant management.Study designA total of 105 infertile women under the age of 40 years with rectovaginal endometriosis and no other associated major infertility factor underwent first-line conservative surgery at laparotomy or expectant management according to a shared decision-making approach.ResultsAmong the 44 women who had resection of rectovaginal endometriosis, 15 became pregnant, compared with 22 of the 61 women who choose expectant management (24-month cumulative probabilities, 44.9% and 46.8%, respectively; log-rank test, chi2(1) = 0.75; P = .38). One major and 9 minor postoperative complications occurred. Significant differences in pain-free survival time in favor of the surgery group were observed for dysmenorrhea, dyspareunia, and dyschezia.ConclusionConservative surgery for rectovaginal endometriosis in infertile women does not modify the reproductive prognosis although it does increase pain-free survival time.

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Condition tags

endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Gynecologic Surgical Procedures Infertility, Female Rectal Diseases Reproduction Vaginal Diseases Adult Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Palliative Care Pregnancy Pregnancy Rate Prognosis Rectal Diseases Rectal Diseases Survival Analysis

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 (29)

Cited by (50)

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