Does the presence of endometriosis cause a challenge for transvaginal oocyte retrieval A comparison between patients with and without endometriosis
Open accessAbstract
Objective: The aim of the study was to compare patients with and without endometriosis regarding performance rates, difficulties, and complications associated with transvaginal oocyte retrieval (TVOR) procedures. Material and Methods: A prospective cohort study was conducted at the In Vitro Fertilization Unit of the Division of Reproductive Endocrinology and Infertility Department of a university hospital. Fifty-eight patients with endometriosis and 61 patients without endometriosis underwent TVOR procedures consecutively. Primary outcome measures were; number of needle entries per patient and performance rating defined as the total number of oocytes retrieved per vaginal needle entry. The requirement for manual compression of the abdominal wall (assistance) to reach the ovaries, procedure-related pain, and procedural complications were also evaluated. Results: The median number of needle entries through the vaginal wall per patient was comparable between the two groups (p=0.45). Performance rates were higher in the control group (p=0.001). Performance rates and total number of the needle entries through the vaginal wall were not significantly correlated with ovarian endometrioma (OMA) diameter (r=0.28; p=0.68; r=0.275, p=0.068, respectively) in the endometriosis group. Body mass index (BMI) scores were found to be correlated with the number of the needle entries and higher BMI scores were associated with higher numbers of vaginal wall punctures (p<0.001). The requirement for manual compression of the abdominal wall was significantly higher in the control group (57.4% vs 27.6%, p=0.001). A similar proportion of women needed analgesic medications after the TVOR procedure in both groups (10.3% vs 16.4%, p=0.33). Hospital readmissions for any symptoms were also comparable between the two groups (p=0.22). Three women were treated for pelvic infection, all of whom were in the endometriosis group. Conclusion: Endometriosis seems to cause a challenge for TVOR that may have reflection on individual surgeon’s performance rates for the procedure, independently from the diameter of a pre-existing OMA or ovarian adhesions. Obesity is another factor that may present a challenge for the procedure.
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In abdominal wall endometriosis, infiltration above 5 mm of wall depth involving the parietal peritoneum may cause severe postoperative complications.
“It is worth mentioning that in abdominal wall endometriosis, when there is an infiltration above 5 mm of the wall's depth involving the parietal peritoneum, there may be severe postoperative complications [29][30][31] .”
From Abdominal Wall Endometriosis: Experience of the General Surgery Service of the Antônio Pedro University Hospital of the Universidade Federal Fluminense (2020) · cites this paper as [29]
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- Authors
- Kasapoğlu, I., Türk, P., Dayan, A., & Uncu, G.
- Affiliations
- Bursa Uludağ Üni̇versi̇tesi̇ (TR)
- Corresponding author
- Kasapoğlu, Işıl
- Venue
- Journal of the Turkish-German Gynecological Association
- Publisher
- Galenos Yayinevi
- Published
- 2018-08-06
- Volume
- 19
- Issue
- 3
- Pages
- 151-157
- ISSN
- 1309-0380 (ISSN-L)
- 1309-0399
- PMC
- PMC6085525
- OpenAlex
- W2790639957
- Cited by
- 10
- References
- 26
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 1
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Journal of the Turkish-German Gynecological Association (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Bursa Uludag University - AVESIS (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Biology and Fertility
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Keywords
- endometriosis, transvaginal oocyte retrieval, endometrioma, ovarian adhesions, body mass index, obesity, procedural complications, postoperative pain, pelvic infection, in vitro fertilization
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