We evaluated the recovery of fertility and the relief of pain symptoms in a long-term follow-up of 42 women undergoing repetitive conservative surgery for recurrent endometriosis. The mean age of the patients was 31.1 +/- 4.3 years. At the time of their second operation the disease was stage IV in 14 women, stage III in 25, and stage I in three. After reoperation, the patients were followed for a mean period of 41.8 +/- 30.3 months. Pain symptoms returned in eight women, dysmenorrhea and deep dyspareunia in eight, and pelvic pain in seven. Eight of the 28 women (28.6%) who attempted to conceive achieved a total of 13 pregnancies. The corrected pregnancy rate was 35%, and the cumulative rate at 27 months was 30.7%. A third operation was necessary in six women after a mean period of 35 months. Conservative surgery is an effective therapeutic option for infertile patients with recurrent endometriosis.

Repetitive conservative surgery for recurrence of endometriosis / G.B. Candiani, L. Fedele, P. Vercellini, S. Bianchi, G. Di Nola. - In: OBSTETRICS AND GYNECOLOGY. - ISSN 0029-7844. - 77:3(1991 Mar), pp. 421-424.

Repetitive conservative surgery for recurrence of endometriosis

L. Fedele
Secondo
;
P. Vercellini;S. Bianchi
Penultimo
;
1991

Abstract

We evaluated the recovery of fertility and the relief of pain symptoms in a long-term follow-up of 42 women undergoing repetitive conservative surgery for recurrent endometriosis. The mean age of the patients was 31.1 +/- 4.3 years. At the time of their second operation the disease was stage IV in 14 women, stage III in 25, and stage I in three. After reoperation, the patients were followed for a mean period of 41.8 +/- 30.3 months. Pain symptoms returned in eight women, dysmenorrhea and deep dyspareunia in eight, and pelvic pain in seven. Eight of the 28 women (28.6%) who attempted to conceive achieved a total of 13 pregnancies. The corrected pregnancy rate was 35%, and the cumulative rate at 27 months was 30.7%. A third operation was necessary in six women after a mean period of 35 months. Conservative surgery is an effective therapeutic option for infertile patients with recurrent endometriosis.
Ovarian Neoplasms ; Humans ; Reoperation ; Endometriosis ; Pain ; Pregnancy ; Prospective Studies ; Dysmenorrhea; Infertility, Female ; Adult ; Uterine Neoplasms ; Follow-Up Studies ; Surgical Procedures, Operative ; Neoplasm Recurrence, Local ; Female
Settore MED/40 - Ginecologia e Ostetricia
mar-1991
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/206108
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