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
Other OA: closed CC0 ⤵ 132 in-corpus citations
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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

OBJECTIVE: This 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 DESIGN: A 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. RESULTS: Among 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. CONCLUSION: Conservative 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 Gynecologic Surgical Procedures Infertility, Female Rectal Diseases Reproduction Reproduction Vaginal Diseases Adult Adult Endometriosis Endometriosis Endometriosis Female Female Humans Humans Infertility, Female Infertility, Female Infertility, Female

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (29)

Cited by (50)

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License: CC0 · commercial use OK