The Surgical Treatment of Severe Endometriosis Positively Affects the Chance of Natural or Assisted Pregnancy Postoperatively
Objective. To report reproductive outcomes following laparoscopic surgical excision of histologically confirmed r-ASRM stage III-IV endometriosis. Study Design. A retrospective cohort study was performed at the Royal Hospital for Women, a university teaching hospital, Sydney, Australia. Women who ha...
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| Veröffentlicht in: | BioMed research international 2015-01, Vol.2015 (2015), p.1-7 |
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| creator | Abbott, Jason A. Henry, Amanda Hooshmand, Dona Won, Haryun Maley, Peta E. Campbell, Neil Nesbitt-Hawes, Erin M. Ledger, William L. |
| description | Objective. To report reproductive outcomes following laparoscopic surgical excision of histologically confirmed r-ASRM stage III-IV endometriosis. Study Design. A retrospective cohort study was performed at the Royal Hospital for Women, a university teaching hospital, Sydney, Australia. Women who had fertility-preserving laparoscopic excision of stage III-IV endometriosis from 1997 to 2009 were contacted regarding reproductive outcomes. Results. In the study period, 355 women underwent surgery for stage III-IV endometriosis. Follow-up data are available for 253/355 (71%) women. Postoperatively, 142/253 (56%) women attempted to conceive with a conception rate of 104/142 (73%). Confidence intervals for pregnancy for women who were attempting conception (including the nonresponders) range from 104/262 (40%) to 224/262 (85%). Median time to conception was 12 months. No positive prognostic factors for pregnancy were identified on regression analyses. Conclusions. These data provide information to women with suspected severe disease preoperatively concerning their likely postoperative fertility outcomes. Ours is a population with severe endometriosis, rather than an infertile population with endometriosis, so caution needs to be applied when applying these data to women with fertility issues alone. |
| doi_str_mv | 10.1155/2015/438790 |
| format | Article |
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To report reproductive outcomes following laparoscopic surgical excision of histologically confirmed r-ASRM stage III-IV endometriosis. Study Design. A retrospective cohort study was performed at the Royal Hospital for Women, a university teaching hospital, Sydney, Australia. Women who had fertility-preserving laparoscopic excision of stage III-IV endometriosis from 1997 to 2009 were contacted regarding reproductive outcomes. Results. In the study period, 355 women underwent surgery for stage III-IV endometriosis. Follow-up data are available for 253/355 (71%) women. Postoperatively, 142/253 (56%) women attempted to conceive with a conception rate of 104/142 (73%). Confidence intervals for pregnancy for women who were attempting conception (including the nonresponders) range from 104/262 (40%) to 224/262 (85%). Median time to conception was 12 months. No positive prognostic factors for pregnancy were identified on regression analyses. Conclusions. These data provide information to women with suspected severe disease preoperatively concerning their likely postoperative fertility outcomes. Ours is a population with severe endometriosis, rather than an infertile population with endometriosis, so caution needs to be applied when applying these data to women with fertility issues alone.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2015/438790</identifier><identifier>PMID: 26247022</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Australia - epidemiology ; Body mass index ; Care and treatment ; Cohort Studies ; Comorbidity ; Complications and side effects ; Endometriosis ; Endometriosis - surgery ; Female ; Fertility ; Fertility Preservation - statistics & numerical data ; Gynecologic Surgical Procedures - statistics & numerical data ; Gynecology, Operative ; Health aspects ; Hospitals ; Humans ; Incidence ; Infertility ; Laparoscopy ; Laparoscopy - statistics & numerical data ; Length of stay ; Operative Time ; Pain ; Postoperative Complications - epidemiology ; Pregnancy ; Pregnancy Complications - epidemiology ; Pregnancy Complications - surgery ; Pregnancy Outcome - epidemiology ; Questionnaires ; Reproductive health ; Reproductive technologies ; Retrospective Studies ; Risk Factors ; Surgeons ; Surgery ; Survival analysis ; Treatment Outcome ; Womens health</subject><ispartof>BioMed research international, 2015-01, Vol.2015 (2015), p.1-7</ispartof><rights>Copyright © 2015 Erin M. Nesbitt-Hawes et al.</rights><rights>COPYRIGHT 2015 John Wiley & Sons, Inc.</rights><rights>Copyright © 2015 Erin M. Nesbitt-Hawes et al. Erin M. Nesbitt-Hawes et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2015 Erin M. Nesbitt-Hawes et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c528t-1e109357efc67cbcb5d3cac5bc7615419a313668d54f21aef1024216231af5623</citedby><cites>FETCH-LOGICAL-c528t-1e109357efc67cbcb5d3cac5bc7615419a313668d54f21aef1024216231af5623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4515280/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4515280/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26247022$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Mettler, Liselotte</contributor><creatorcontrib>Abbott, Jason A.</creatorcontrib><creatorcontrib>Henry, Amanda</creatorcontrib><creatorcontrib>Hooshmand, Dona</creatorcontrib><creatorcontrib>Won, Haryun</creatorcontrib><creatorcontrib>Maley, Peta E.</creatorcontrib><creatorcontrib>Campbell, Neil</creatorcontrib><creatorcontrib>Nesbitt-Hawes, Erin M.</creatorcontrib><creatorcontrib>Ledger, William L.</creatorcontrib><title>The Surgical Treatment of Severe Endometriosis Positively Affects the Chance of Natural or Assisted Pregnancy Postoperatively</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Objective. To report reproductive outcomes following laparoscopic surgical excision of histologically confirmed r-ASRM stage III-IV endometriosis. Study Design. A retrospective cohort study was performed at the Royal Hospital for Women, a university teaching hospital, Sydney, Australia. Women who had fertility-preserving laparoscopic excision of stage III-IV endometriosis from 1997 to 2009 were contacted regarding reproductive outcomes. Results. In the study period, 355 women underwent surgery for stage III-IV endometriosis. Follow-up data are available for 253/355 (71%) women. Postoperatively, 142/253 (56%) women attempted to conceive with a conception rate of 104/142 (73%). Confidence intervals for pregnancy for women who were attempting conception (including the nonresponders) range from 104/262 (40%) to 224/262 (85%). Median time to conception was 12 months. No positive prognostic factors for pregnancy were identified on regression analyses. Conclusions. These data provide information to women with suspected severe disease preoperatively concerning their likely postoperative fertility outcomes. Ours is a population with severe endometriosis, rather than an infertile population with endometriosis, so caution needs to be applied when applying these data to women with fertility issues alone.</description><subject>Australia - epidemiology</subject><subject>Body mass index</subject><subject>Care and treatment</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Complications and side effects</subject><subject>Endometriosis</subject><subject>Endometriosis - surgery</subject><subject>Female</subject><subject>Fertility</subject><subject>Fertility Preservation - statistics & numerical data</subject><subject>Gynecologic Surgical Procedures - statistics & numerical data</subject><subject>Gynecology, Operative</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infertility</subject><subject>Laparoscopy</subject><subject>Laparoscopy - statistics & numerical data</subject><subject>Length of stay</subject><subject>Operative Time</subject><subject>Pain</subject><subject>Postoperative Complications - epidemiology</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Pregnancy Complications - surgery</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Questionnaires</subject><subject>Reproductive health</subject><subject>Reproductive technologies</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Survival analysis</subject><subject>Treatment Outcome</subject><subject>Womens health</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNks-LEzEUxwdR3GXdk3cZ8CJK3bxMkplchFLWH7DowtZzSDMvbZbppCaZSg_-72actVRPm0MSyOd9-b6Xb1G8BPIegPMrSoBfsaqpJXlSnNMK2EwAg6fHe1WdFZcx3pO8GhBEiufFGRWU1YTS8-LXcoPl3RDWzuiuXAbUaYt9Kr0t73CPAcvrvvVbTMH56GJ5m_fk9tgdyrm1aFIsU1ZYbHRvcKz6qtMQspQP5TzmioRteRtw3WfgMJYnv8OgJ40XxTOru4iXD-dF8f3j9XLxeXbz7dOXxfxmZjht0gwQiKx4jdaI2qzMireV0YavTC2AM5C6gkqIpuXMUtBogVBGQeQRaMvzcVF8mHR3w2qLrckdZo9qF9xWh4Py2ql_X3q3UWu_V4xDdkCywJsHgeB_DBiT2rposOt0j36ICmoioZGcPQqlgktJREZf_4fe-yH0eRIKhGyamkp5Qq11h8r11meLZhRVc8bznwL74_DdRJngYwxoj90BUWNU1BgVNUUl069OB3Jk_wYjA28nYOP6Vv90j1PDjKDVJzDnTDbVb_aBzzs</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Abbott, Jason A.</creator><creator>Henry, Amanda</creator><creator>Hooshmand, Dona</creator><creator>Won, Haryun</creator><creator>Maley, Peta E.</creator><creator>Campbell, Neil</creator><creator>Nesbitt-Hawes, Erin M.</creator><creator>Ledger, William L.</creator><general>Hindawi Publishing Corporation</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150101</creationdate><title>The Surgical Treatment of Severe Endometriosis Positively Affects the Chance of Natural or Assisted Pregnancy Postoperatively</title><author>Abbott, Jason A. ; Henry, Amanda ; Hooshmand, Dona ; Won, Haryun ; Maley, Peta E. ; Campbell, Neil ; Nesbitt-Hawes, Erin M. ; Ledger, William L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c528t-1e109357efc67cbcb5d3cac5bc7615419a313668d54f21aef1024216231af5623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Australia - epidemiology</topic><topic>Body mass index</topic><topic>Care and treatment</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Complications and side effects</topic><topic>Endometriosis</topic><topic>Endometriosis - surgery</topic><topic>Female</topic><topic>Fertility</topic><topic>Fertility Preservation - statistics & numerical data</topic><topic>Gynecologic Surgical Procedures - statistics & numerical data</topic><topic>Gynecology, Operative</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infertility</topic><topic>Laparoscopy</topic><topic>Laparoscopy - statistics & numerical data</topic><topic>Length of stay</topic><topic>Operative Time</topic><topic>Pain</topic><topic>Postoperative Complications - epidemiology</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Pregnancy Complications - surgery</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Questionnaires</topic><topic>Reproductive health</topic><topic>Reproductive technologies</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Survival analysis</topic><topic>Treatment Outcome</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abbott, Jason A.</creatorcontrib><creatorcontrib>Henry, Amanda</creatorcontrib><creatorcontrib>Hooshmand, Dona</creatorcontrib><creatorcontrib>Won, Haryun</creatorcontrib><creatorcontrib>Maley, Peta E.</creatorcontrib><creatorcontrib>Campbell, Neil</creatorcontrib><creatorcontrib>Nesbitt-Hawes, Erin M.</creatorcontrib><creatorcontrib>Ledger, William L.</creatorcontrib><collection>الدوريات العلمية والإحصائية - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abbott, Jason A.</au><au>Henry, Amanda</au><au>Hooshmand, Dona</au><au>Won, Haryun</au><au>Maley, Peta E.</au><au>Campbell, Neil</au><au>Nesbitt-Hawes, Erin M.</au><au>Ledger, William L.</au><au>Mettler, Liselotte</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Surgical Treatment of Severe Endometriosis Positively Affects the Chance of Natural or Assisted Pregnancy Postoperatively</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>2015</volume><issue>2015</issue><spage>1</spage><epage>7</epage><pages>1-7</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Objective. To report reproductive outcomes following laparoscopic surgical excision of histologically confirmed r-ASRM stage III-IV endometriosis. Study Design. A retrospective cohort study was performed at the Royal Hospital for Women, a university teaching hospital, Sydney, Australia. Women who had fertility-preserving laparoscopic excision of stage III-IV endometriosis from 1997 to 2009 were contacted regarding reproductive outcomes. Results. In the study period, 355 women underwent surgery for stage III-IV endometriosis. Follow-up data are available for 253/355 (71%) women. Postoperatively, 142/253 (56%) women attempted to conceive with a conception rate of 104/142 (73%). Confidence intervals for pregnancy for women who were attempting conception (including the nonresponders) range from 104/262 (40%) to 224/262 (85%). Median time to conception was 12 months. No positive prognostic factors for pregnancy were identified on regression analyses. Conclusions. These data provide information to women with suspected severe disease preoperatively concerning their likely postoperative fertility outcomes. Ours is a population with severe endometriosis, rather than an infertile population with endometriosis, so caution needs to be applied when applying these data to women with fertility issues alone.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>26247022</pmid><doi>10.1155/2015/438790</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Australia - epidemiology Body mass index Care and treatment Cohort Studies Comorbidity Complications and side effects Endometriosis Endometriosis - surgery Female Fertility Fertility Preservation - statistics & numerical data Gynecologic Surgical Procedures - statistics & numerical data Gynecology, Operative Health aspects Hospitals Humans Incidence Infertility Laparoscopy Laparoscopy - statistics & numerical data Length of stay Operative Time Pain Postoperative Complications - epidemiology Pregnancy Pregnancy Complications - epidemiology Pregnancy Complications - surgery Pregnancy Outcome - epidemiology Questionnaires Reproductive health Reproductive technologies Retrospective Studies Risk Factors Surgeons Surgery Survival analysis Treatment Outcome Womens health |
| title | The Surgical Treatment of Severe Endometriosis Positively Affects the Chance of Natural or Assisted Pregnancy Postoperatively |
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