An audit of conservative surgery for endometriosis in a district general hospital 1995-1998

As conservative surgery for endometriosis is a relatively new introduction to our hospital we felt it would be of value to audit our results and compare these with results from published series. We sent postal questionnaires to 104 patients who had undergone surgery over the past 3 years to assess their response to treatment. We combined this with an additional questionnaire to patients who had a Laparoscopic uterine nerve ablation (LUNA) procedure. We received replies from 81% of the patients with 81% having symptom improvement following their operation. Eighty-seven per cent of patients who had LUNA returned the questionnaire with 64% having some symptom improvement following surgery. On the basis of our results we will continue to offer conservative surgery for endometriosis as the best primary treatment but have some reservations about the addition of LUNA in patients with endometriosis.