Postoperative Outcomes on Endometriosis-related Pain Following Laparoscopic Adenomyomectomy: A Retrospective Cohort
Pruttaporn Maneerat1,2, Wei-Li Lin3, Chyi-Long Lee3
1Department of Obstetrics and Gynecology, Rajavithi Hospital, Bangkok, Thailand.
Objectives:
The objective of this study was to evaluate postoperative remission of endometriotic-related pain in patients who underwent laparoscopic adenomyomectomy on patients with adenomyosis.
Materials And Methods:
Sixty-eight cases of patients with adenomyosis who underwent laparoscopic adenomyomectomy were retrospectively reviewed until the 24th week after the surgery. Evaluation of the remission of pain using the visual analog scale was analyzed. Moreover, recurrence of symptoms and fertility outcomes were collected.
Results:
Eligible 26 patients were included in the final analysis. Pain symptoms were significantly improved in 100%, 96.2%, and 96.0% of patients at the 6th, 12th, and 24th weeks of follow-up, respectively. No pregnancy was recorded, but 42.3% of patients underwent infertility treatment within the follow-up period. About 7.7% had a recurrence of pain symptoms during the study.
Conclusion:
Laparoscopic adenomyomectomy significantly improves dysmenorrhea and provides at least 24 weeks of good opportunity to undergo ovarian stimulation during the disease-free period. Pregnancy interval after adenomyomectomy might require a longer period. Thus, further studies should be conducted to evaluate pregnancy outcomes.
