Fertility and clinical outcome after bowel resection in infertile women with endometriosis
Open accessAbstract
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.
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References 42 · Cited by 53
Research works printed but not linked: 2
- Faccioli, N., Foti, G., Manfredi, R., Mainardi, P., Spoto, E., Ruffo, G., Minelli, L., Mucelli, R.P., 2009. Evaluation of colonic involvement in endometriosis: double-contrast barium enema vs. magnetic resonance imaging. Abdom Imaging. doi:10.1007/ s00261-009-9544-5. · DOI
- Pritts EA, Taylor RN. 2003 An evidence-based evaluation of endometriosis-associated infertility. Endocrinol. Metabol. Clin. N. Am. 32(3):653-67.
- Authors
- Stepniewska, A., Pomini, P., Scioscia, M., Mereu, L., Ruffo, G., & Minelli, L.
- Affiliations
- Ospedale Sacro Cuore Don Calabria (IT)
- Corresponding author
- Stepniewska, Anna
- Venue
- Reproductive BioMedicine Online
- Publisher
- Elsevier BV
- Published
- 2010-05
- Volume
- 20
- Issue
- 5
- Pages
- 602-609
- ISSN
- 1472-6483 (ISSN-L)
- OpenAlex
- W2037601551
- Cited by
- 53
- References
- 42
- Citations by year
- 2025: 2 · 2024: 4 · 2022: 1 · 2021: 5 · 2020: 7 · 2019: 4 · 2018: 1 · 2017: 3 · 2016: 2 · 2015: 3 · 2014: 5 · 2013: 7 · 2012: 3
- FWCI
- 6.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Reproductive BioMedicine Online (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, bowel endometriosis, infertility, postoperative fertility, laparoscopic colorectal resection, segmental bowel resection, cumulative pregnancy rate, endometriosis recurrence, pain recurrence, quality of life
- MeSH terms
- Adult, Colon, Endometriosis, Female, Humans, Infertility, Female, Pregnancy
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