Recurrent endometriosis: a battle against an unknown enemy

Recurrence of endometriosis after conservative surgery is not an uncommon finding. There is no uniformity, however, on what the term 'recurrence' means. Recurrence is variously defined in the literature as the relapse of pain, clinical or instrumental detection of an endometriotic lesion,...

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Bibliographic Details
Published in:The European journal of contraception & reproductive health care 2019-11, Vol.24 (6), p.464-474
Main Authors: Ceccaroni, Marcello, Bounous, Valentina Elisabetta, Clarizia, Roberto, Mautone, Daniele, Mabrouk, Mohamed
Format: Article
Language:English
Subjects:
CA-125 Antigen - biosynthesis
Dysmenorrhea - etiology
Dysmenorrhoea
Dyspareunia - etiology
endometrioma
Endometriosis
Endometriosis - complications
Endometriosis - epidemiology
Endometriosis - surgery
endometriosis recurrence
Etiology
Female
Gynecological surgery
Humans
laparoscopy
Pain
pelvic pain
Pelvic Pain - etiology
Postoperative Care
Recurrence
Risk Factors
Surgical outcomes
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Summary:Recurrence of endometriosis after conservative surgery is not an uncommon finding. There is no uniformity, however, on what the term 'recurrence' means. Recurrence is variously defined in the literature as the relapse of pain, clinical or instrumental detection of an endometriotic lesion, repeat rise in CA 125 levels, or evidence of recurrence found during repeat surgery. Consequently, the reported recurrence rate varies widely (0-89%) in the different series, depending on its definition and the type of study performed. As endometriosis recurrence seems to be an indeterminate enemy, we set out to examine exactly what we were fighting in our everyday battle. In this narrative review, we aimed to seek an answer to questions related to endometriosis recurrence, some of which are often asked by our patients.
ISSN:1362-5187
1473-0782
DOI:10.1080/13625187.2019.1662391