OBJECTIVE: To evaluate the efficacy of laparoscopic resection of the uterosacral ligaments in @entity1 with @entity601 . DESIGN: Randomized controlled trial. SETTING: Two academic departments. One hundred eighty @entity1 undergoing operative laparoscopy as first-line therapy for stage I to IV symptomatic @entity46 . INTERVENTION(S): Operative laparoscopy including uterosacral ligament resection or conservative surgery alone. MAIN OUTCOME MEASURE(S): Proportion of @entity1 with recurrence of moderate or severe @entity1834 1 year after surgery. RESULT(S): No complications occurred. Among the @entity1 who were evaluable 1 year after operative laparoscopy, 23 of 78 (29%) @entity1 who had uterosacral ligament resection and 21 of 78 (27%) @entity1 who had conservative surgery only reported recurrent @entity1834 . The corresponding numbers of @entity1 at 3 years were 21 of 59 (36%) @entity1 and 18 of 57 (32%) @entity1 , respectively. Time to recurrence was similar in the two groups. @entity158 was substantially reduced, and @entity1 in both groups experienced similar and significant improvements in health-related quality of life, @entity146 profile, and sexual satisfaction. Overall, 68 of 90 (75%) @entity1 in the uterosacral ligament resection group and 67 of 90 (74%) @entity1 in the conservative surgery group were satisfied at 1 year. CONCLUSION(S): Addition of uterosacral ligament resection to conservative laparoscopic surgery for @entity46 did not reduce the medium- or long-term frequency and severity of recurrence of @entity1834 .

Laparoscopic uterosacral ligament resection for XXXX associated with @entity46 : results of a randomized, controlled trial.

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric'] @entity1834 :: ('MESH:D004412', 'Disease') :: ['dysmenorrhea'] @entity46 :: ('MESH:D004715', 'Disease') :: ['endometriosis'] @entity601 :: ('MESH:D009436', 'Disease') :: ['endometriosis and predominantly midline dysmenorrhea'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain']
@entity1834 :: (MESH:D004412,Disease) :: ['dysmenorrhea']
