Fertility and clinical outcome after bowel resection in infertile women with endometriosis

Abstract Bowel resection for endometriosis improves pain symptoms and quality of life in symptomatic women. However, little is known about fertility after surgery, particularly after such treatment in women suffering from infertility. The aim of the present study was to evaluate post-operative ferti...

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Bibliographic Details
Published in:Reproductive biomedicine online 2010-05, Vol.20 (5), p.602-609
Main Authors: Stepniewska, Anna, Pomini, Paola, Scioscia, Marco, Mereu, Liliana, Ruffo, Giacomo, Minelli, Luca
Format: Article
Language:English
Subjects:
Adult
bowel resection
Colon - surgery
colorectal endometriosis
Endometriosis - complications
Endometriosis - physiopathology
Endometriosis - surgery
Female
Humans
infertility
Infertility, Female - complications
laparoscopic surgery
Obstetrics and Gynecology
Pregnancy
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Summary:Abstract Bowel resection for endometriosis improves pain symptoms and quality of life in symptomatic women. However, little is known about fertility after surgery, particularly after such treatment in women suffering from infertility. The aim of the present study was to evaluate post-operative fertility and long-term clinical outcome after laparoscopic colorectal resection for endometriosis in infertile women. This study reports clinical outcomes in 62 infertile women who underwent laparoscopic excision of endometriosis with segmental bowel resection performed for severe intestinal symptoms. Among women younger than 30 years trying to conceive spontaneously, the cumulative pregnancy rate was 58% and the cumulative pregnancy rate was 45% in those aged 30–34 years. The total pain recurrence was 9.7% (six cases) and endometriosis recurrence was diagnosed by ultrasound in 14.5% (nine cases) during the follow-up period. Four of these patients needed further surgery because of severe symptoms. The surgical treatment of bowel endometriosis seems to improve pain symptoms and patients’ satisfaction rates, and it could also be indicated in infertile women.
ISSN:1472-6483
1472-6491
DOI:10.1016/j.rbmo.2009.12.029