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Recurrent endometriosis

R Punnonen, P Klemi, V Nikkanen

    Gynecologic and Obstetric Investigation
    |January 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Endometriosis recurred in 14.6% of patients after surgery. Recurrence commonly involved ovaries and retrocervix, with pain and dysmenorrhea as main symptoms. Post-surgery gestagen therapy did not impact recurrence rates.

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    Area of Science:

    • Gynecology
    • Surgical Oncology
    • Reproductive Medicine

    Background:

    • Endometriosis is a chronic condition affecting women of reproductive age.
    • Surgical intervention is a primary treatment modality for symptomatic endometriosis.
    • Understanding recurrence patterns is crucial for long-term patient management.

    Purpose of the Study:

    • To investigate the recurrence rate of endometriosis after surgical treatment.
    • To identify common sites and symptoms associated with endometriosis recurrence.
    • To evaluate the impact of post-operative gestagen therapy on recurrence.

    Main Methods:

    • Retrospective analysis of 903 patients undergoing surgical treatment for endometriosis.
    • Follow-up period ranging from 6 to 10 years.

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  • Data collected on recurrence, re-operation timing, symptoms, affected sites, and adjuvant therapies.

    • Main Results:

    • A recurrence rate of 14.6% (132/903 patients) was observed over 6-10 years.
    • Most recurrences occurred between 1-5 years post-primary surgery (91 patients).
    • Common recurrence sites included ovaries and retrocervix, with pain and dysmenorrhea as prevalent symptoms. Rectal and bladder endometriomas were noted in 13 patients.

    Conclusions:

    • Endometriosis recurrence after surgery is significant, necessitating long-term monitoring.
    • Ovaries and retrocervix are frequent sites for recurrence, manifesting as pain and dysmenorrhea.
    • Post-operative gestagen therapy showed no significant effect on reducing endometriosis recurrence in this cohort.