Surgery for endometriosis: beyond medical therapies

Singh, Sukhbir S.; Suen, Michael W.H.

doi:10.1016/j.fertnstert.2017.01.001

Cited by 121Endometriosis Research and TreatmentGynecological conditions and treatmentsEctopic Pregnancy Diagnosis and Management

Surgery for endometriosis: beyond medical therapies

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Singh, Sukhbir S., Suen, Michael W.H.·2017·Fertility and Sterility

DOI 10.1016/j.fertnstert.2017.01.001

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Abstract

Endometriosis-associated pelvic pain and subfertility may be managed medically in many cases; however, the surgical management of this insidious disease remains a necessary part of the treatment algorithm. Laparoscopy for diagnosis alone is rarely indicated with the advancements in preoperative imaging. When surgery is performed, the ideal goal would be a therapeutic and effective surgical intervention based on the preoperative evaluation. Surgery for women with pain due to endometriosis may be indicated in patients who cannot or do not wish to take medical therapies; acute surgical or pain events; deep endometriosis; during concomitant management of other gynecologic disorders; and patients seeking fertility with pain. The role of surgery for endometriosis-related subfertility may be considered in those with hydrosalpinges undergoing IVF; management of ovarian endometriomas in specific circumstances; and when a patient requests surgery as an alternative to assisted reproductive technology (ART). Surgery for ovarian endometriomas requires special attention due to the risk of potential harm on future fertility. Finally, a combined approach of surgery followed by postoperative medical therapy offers the best long-term outcomes for recurrence of disease and symptoms. A patient-centered approach and a goal-oriented approach are essential when determining the options for care in this population.

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Patients with endometriosis who present with infertility do not require the same management as patients who complain of pelvic pain.
“Patients with endometriosis who present with infertility do not require the same management as patients who complain of pelvic pain (Singh and Suen, 2017”
From IVF/ICSI or surgery as first approach for the treatment of infertility associated with ovarian and deep infiltrating endometriosis? A systematic review and meta-analysis. (2026) · cites this paper as Singh and Suen, 2017

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Authors: Singh, S. S., & Suen, M. W. H.
Affiliations: University of Ottawa (CA)
Corresponding author: Singh, Sukhbir S.
ORCID: Singh, Sukhbir S.
Suen, Michael W.H.
Venue: Fertility and Sterility
Publisher: Elsevier BV
Published: 2017-03
Volume: 107
Issue: 3
Pages: 549-554
ISSN: 0015-0282 (ISSN-L)
DOI: 10.1016/j.fertnstert.2017.01.001
OpenAlex: W2586099502
Cited by: 121
References: 43
Citations by year: 2026: 17 · 2025: 13 · 2024: 7 · 2023: 4 · 2022: 18 · 2021: 10 · 2020: 17 · 2019: 17 · 2018: 10 · 2017: 8
FWCI: 2.34
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 1913 d)
Locations: Fertility and Sterility (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
Keywords: endometriosis, surgical management, pelvic pain, subfertility, laparoscopy, endometrioma, hydrosalpinx, in vitro fertilization, assisted reproduction, postoperative medical therapy, endometriosis recurrence, patient-centered care
MeSH terms: Endometriosis, Endometrium, Female, Fertility, Humans, Infertility, Female, Laparoscopy, Predictive Value of Tests, Recurrence, Severity of Illness Index, Treatment Outcome, Pelvic Pain, Patient Selection, Recovery of Function

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Surgery for endometriosis: beyond medical therapies

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