Risk factors for postoperative recurrence of ovarian endometriosis: long-term follow-up of 358 women

To explore the risk factors for the recurrence of endometrioma and the risk factors for the recurrence of endometriosis-related pain after long-term follow-up. This study retrospectively analyzed 358 women with endometriomas who had a minimum of 5-years follow up after laparoscopic endometrioma exci...

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Published in:Journal of ovarian research 2019-08, Vol.12 (1), p.79-79, Article 79
Main Authors: Li, Xiao-Yan, Chao, Xiao-Pei, Leng, Jin-Hua, Zhang, Wen, Zhang, Jun-Ji, Dai, Yi, Shi, Jing-Hua, Jia, Shuang-Zheng, Xu, Xiao-Xuan, Chen, Si-Kai, Wu, Yu-Shi
Format: Article
Language:English
Subjects:
Adult
Age
Body mass index
Care and treatment
Cysts
Dysmenorrhea
Dysmenorrhea - epidemiology
Endometriosis
Endometriosis - epidemiology
Endometriosis - surgery
Female
Fibroids
Follow-Up Studies
Hospitals
Humans
Infertility
Laparoscopy
Leiomyoma
Medical schools
Menstruation
Multivariate analysis
Ovarian Diseases - epidemiology
Ovarian Diseases - surgery
Ovarian endometriomas
Pain
Pregnancy
Recurrence
Recurrence (Disease)
Risk Factors
Statistical analysis
Surgery
Ultrasonic imaging
Women
Womens health
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Summary:To explore the risk factors for the recurrence of endometrioma and the risk factors for the recurrence of endometriosis-related pain after long-term follow-up. This study retrospectively analyzed 358 women with endometriomas who had a minimum of 5-years follow up after laparoscopic endometrioma excision, which was performed at Peking Union Medical College Hospital from January 2009 to April 2013. All women were divided into recurrence group and nonrecurrence group. Analysis was performed with regard to preoperative history, laboratory analysis, findings during surgery, and symptoms during follow-up, including improvement and recurrence. The cumulative incidence rates of recurrence from 5 to 10 years after surgery were 15.4, 16.8, 19.3, 22.5, 22.5, and 22.5%, respectively. Significant differences were found between two groups in terms of age at surgery (RR: 0.764, 95% CI: 0.615-0.949, p = 0.015), duration of dysmenorrhea (RR: 1.120, 95% CI: 1.054-1.190, p 
ISSN:1757-2215
1757-2215
DOI:10.1186/s13048-019-0552-y