Pain and ovarian endometrioma recurrence after laparoscopic treatment of endometriosis: a long-term prospective study  

Oleh:

Porpora, Maria Grazia ; Pallante, Debora

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 93 no. 03 (Feb. 2010), page 716-721 .
Topik: REPRODUCTIVE HEALTH; Endometrioma recurrence; endometriosis; laparoscopy; pelvic pain; risk factors

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2010.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective To identify prognostic factors for pain and endometrioma recurrence after complete laparoscopic excision of endometrioma(s). Design Prospective observational study. Setting Tertiary care university hospital. Patient(s) One-hundred sixty-six consecutive women affected by uni- or bilateral ovarian endometrioma(s). Intervention(s) Laparoscopic conservative treatment of endometriosis. Main Outcome Measure(s) Patient demographic characteristics, surgical findings, and surgical results were prospectively recorded. Postoperative follow-ups were carried out every 3 months to identify pain and/or endometrioma recurrence for a minimum of 3 years. Result(s) Dysmenorrheal, dyspareunia, and chronic pelvic pain recurred in 14.5%, 6%, and 5.4% of women, respectively. Prior surgery for endometriosis, adhesion extension, and use of ovarian stimulation drugs (OSD) were unfavorable prognostic factors for pain symptoms. Ovarian endometrioma recurred in 9.6% of cases; negative factors were prior surgery for endometriosis, OSD, pelvic adhesions, and high American Society for Reproductive Medicine disease scores. Postoperative pregnancy showed a significant protective effect on pain and disease recurrences. Conclusion(s) Prior surgery, presence of adhesions, and ovulation drugs are negative prognostic factors. Pregnancy has a protective effect on disease and pain recurrence.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali