Improvement in Quality of Life and Pain Scores After Laparoscopic Management of Deep Infiltrating Endometriosis

Study Overview
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Brief Summary
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This is a retrospective cohort study that evaluates the postoperative pain findings of a consecutive series of laparoscopic surgeries for deep infiltrating endometriosis (DIE).

Detailed Description
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The study was carried out in university hospitals (Istanbul, Turkey). Patients diagnosed through bimanual gynecologic examination, gynecologic ultrasound or magnetic resonance imaging-confirmed endometrioma and DIE together; who underwent a laparoscopic surgery by a team of gynecologists, colorectal surgeons, and a urologist were retrospectively evaluated. The data were collected in a specific database and analyzed for postoperative pain outcomes through a comparison with preoperative symptoms scored using a visual analogue score (VAS), and the British Society of Gynecologic Endoscopy (BSGE) pelvic pain questionnaire.

Official Title
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Improvement in Quality of Life and Pain Scores After Laparoscopic Management of Deep Infiltrating Endometriosis

Conditions
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Endometriosis

Intervention / Treatment
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* Other: BSGE pelvic pain questionnaire and VAS scores


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with deep infiltration endometriosis and endometrioma diagnosed through bimanual gynecologic examination, gynecologic ultrasound or through laparoscopically confirmed endometrioma and DIE together; DIE with bowel involvement that required shaving or segmental resection for colorectal lesions and nodules; Who completed the VAS score and BSGE questionnaire; Follow-up period of at least 3 months; Patients resistant to medical therapy (NSAIDs, OCPs, levonorgestrel-releasing intrauterine device (IUD), and progesterone) or refuse to use medical therapy. Exclusion Criteria: *Any other endometriosis patient that do no meet the inclusion criteria

Ages Eligible for Study
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Minimum Age: 22 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| women with endometriosis<br>65 women whose main symptom was pain and who did not respond to medical treatment and underwent endometriosis surgery | Other: BSGE pelvic pain questionnaire and VAS scores<br>* Patients were evaluated using the BSGE pelvic pain questionnaire in terms of pre-operative and post-operative pain assessment in order to determine the effects of endometriosis surgery on the quality of life. The patients were asked to indicate their levels of dyspareunia, dysmenorrhea, and chronic pelvic pain on a VAS on the pelvic pain questionnaire.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of Life after endometriosis surgery | Effects of endometriosis surgery on the quality of life by using BSGE pelvic pain questionnaire | 7 years | 
| Pain levels after endometriosis surgery | Effects of endometriosis surgery on pelvic pain by using VAS scores | 3 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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endometriosis