Surgery and the use of drugs provided reduced pain scores in patients with endometriosis but nevertheless exhibit disadvantages , such as risk of recurrence and side effects , respectively .
However , improved quality of life in these patients has been obtained with the use of conventional treatment
Endometriosis is a chronic gynecological disease characterized by sustained painful symptoms that are responsible for a decline in the quality of life of sufferers .
Conventional treatment includes surgical and pharmacological therapy aim ing at reducing painful symptoms .
This study aim ed to evaluate pain levels in women with endometriosis , focusing on the influence of conventional treatment in controlling this variable .
Treatment of endometriosis is , therefore , a challenge for gynecologists and patients , as they must select the best therapeutic approach for this disease .
Clinical and quality-of-life outcomes after fertility-sparing laparoscopic surgery with bowel resection for severe endometriosis.
STUDY OBJECTIVE To describe the effect of fertility-sparing laparoscopic excision of endometriosis and bowel resection on clinical and quality -of-life outcomes . DESIGN Prospect i ve observational cohort study ( Canadian Task Force classification II-2 ) . SETTING Australian tertiary referral center for the surgical treatment of endometriosis . PATIENTS Seven consecutive patients with known endometriosis involving the bowel . INTERVENTION Laparoscopic resection of all endometriosis , including laparoscopic bowel resection with end-to-end anastomosis with or without temporary ileostomy . MEASUREMENTS AND MAIN RESULTS Preoperative and 12-month postoperative data were collected by use of visual analogue scores for dysmenorrhea , nonmenstrual pelvic pain , dyspareunia , and dyschezia . Vali date d research tools ( SF12 , EuroQOL , and Sexual Activity Question naire ) also assessed quality of life . Reduction in median pain scores at baseline was demonstrated and at 12 months after operation for dysmenorrhea 71 ( interquartile range 43 - 85 ) versus 5 ( 0 - 10 ) ; p=.028 , nonmenstrual pelvic pain 74 ( 48 - 85 ) versus 11 ( 0 - 18 ) ; p=.046 , dyspareunia 66 ( 0 - 98 ) versus 5 ( 0 - 8 ) ; p=.080 , and dyschezia 48 ( 20 - 64 ) versus 20 ( 0 - 40 ) ; p=.173 . All measures of quality of life were improved at 12 months after surgery , although not reaching statistical significance because of the small sample size . All three women wishing to conceive after operation have been successful , result ing in three live births at term . There were few complications associated with this surgery . CONCLUSION Fertility-sparing laparoscopic excision of endometriosis with bowel resection results in improvements in all aspects of pain and quality of life . Results appear to parallel published data for conservative resection of endometriosis not involving bowel . For women with severe endometriosis involving bowel , this surgical treatment provides a viable alternative to pelvic clearance and successfully maintains fertility
Surgery and the use of drugs provided reduced pain scores in patients with endometriosis but nevertheless exhibit disadvantages , such as risk of recurrence and side effects , respectively .
However , improved quality of life in these patients has been obtained with the use of conventional treatment
Endometriosis is a chronic gynecological disease characterized by sustained painful symptoms that are responsible for a decline in the quality of life of sufferers .
Conventional treatment includes surgical and pharmacological therapy aim ing at reducing painful symptoms .
This study aim ed to evaluate pain levels in women with endometriosis , focusing on the influence of conventional treatment in controlling this variable .
Treatment of endometriosis is , therefore , a challenge for gynecologists and patients , as they must select the best therapeutic approach for this disease .