The benefit of adenomyomectomy on fertility outcomes in women with rectovaginal endometriosis with coexisting adenomyosis
Study Objective: To evaluate the effect of removal of coexisting adenomyosis on fertility outcomes in women with rectovaginal endometriosis. Design: A retrospective cohort study. Setting: A general hospital. Patients: A total of 190 women who underwent laparoscopic nodule excision surgery for rectov...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-02-01
|
| Series: | Gynecology and Minimally Invasive Therapy |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213307016300661 |
| _version_ | 1818954128213147648 |
|---|---|
| author | Yohei Kishi Maki Yabuta |
| author_facet | Yohei Kishi Maki Yabuta |
| author_sort | Yohei Kishi |
| collection | DOAJ |
| description | Study Objective: To evaluate the effect of removal of coexisting adenomyosis on fertility outcomes in women with rectovaginal endometriosis.
Design: A retrospective cohort study.
Setting: A general hospital.
Patients: A total of 190 women who underwent laparoscopic nodule excision surgery for rectovaginal endometriosis between April 2007 and December 2012.
Interventions: Surgical excision of the rectovaginal endometriosis and coexisting uterine adenomyosis. Statistical analysis for fertility outcomes.
Measurement and main results: A total of 119 women desired postoperative pregnancy. Coexisting adenomyosis was found in 21% of the women. The overall clinical pregnancy rate was 41.2%. The only determining factor associated with a successful pregnancy was “age at surgery”. Clinical pregnancy rates with or without adenomyosis were 36.0% and 42.6%, respectively. We found no significant difference in clinical pregnancy rates between the groups.
Conclusion: There is a possibility that surgical removal of coexisting adenomyosis positively effects fertility outcomes in women with rectovaginal endometriosis. However, it is also important to note that the age at surgery was a critical factor for successful pregnancy. |
| first_indexed | 2024-12-20T10:17:14Z |
| format | Article |
| id | doaj.art-e7d07041425a4bbb838eecf57ba5e60e |
| institution | Directory Open Access Journal |
| issn | 2213-3070 |
| language | English |
| last_indexed | 2024-12-20T10:17:14Z |
| publishDate | 2017-02-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Gynecology and Minimally Invasive Therapy |
| spelling | doaj.art-e7d07041425a4bbb838eecf57ba5e60e2022-12-21T19:44:02ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702017-02-0161202410.1016/j.gmit.2016.08.002The benefit of adenomyomectomy on fertility outcomes in women with rectovaginal endometriosis with coexisting adenomyosisYohei Kishi0Maki Yabuta1Department of Obstetrics and Gynecology, Nara Medical University, Nara, JapanDepartment of Obstetrics and Gynecology, Takanohara Central Hospital, U-Kyo 1-3-3, Nara 631-0805, JapanStudy Objective: To evaluate the effect of removal of coexisting adenomyosis on fertility outcomes in women with rectovaginal endometriosis. Design: A retrospective cohort study. Setting: A general hospital. Patients: A total of 190 women who underwent laparoscopic nodule excision surgery for rectovaginal endometriosis between April 2007 and December 2012. Interventions: Surgical excision of the rectovaginal endometriosis and coexisting uterine adenomyosis. Statistical analysis for fertility outcomes. Measurement and main results: A total of 119 women desired postoperative pregnancy. Coexisting adenomyosis was found in 21% of the women. The overall clinical pregnancy rate was 41.2%. The only determining factor associated with a successful pregnancy was “age at surgery”. Clinical pregnancy rates with or without adenomyosis were 36.0% and 42.6%, respectively. We found no significant difference in clinical pregnancy rates between the groups. Conclusion: There is a possibility that surgical removal of coexisting adenomyosis positively effects fertility outcomes in women with rectovaginal endometriosis. However, it is also important to note that the age at surgery was a critical factor for successful pregnancy.http://www.sciencedirect.com/science/article/pii/S2213307016300661adenomyosisendometriosispregnancyrectovaginalsurgery |
| spellingShingle | Yohei Kishi Maki Yabuta The benefit of adenomyomectomy on fertility outcomes in women with rectovaginal endometriosis with coexisting adenomyosis Gynecology and Minimally Invasive Therapy adenomyosis endometriosis pregnancy rectovaginal surgery |
| title | The benefit of adenomyomectomy on fertility outcomes in women with rectovaginal endometriosis with coexisting adenomyosis |
| title_full | The benefit of adenomyomectomy on fertility outcomes in women with rectovaginal endometriosis with coexisting adenomyosis |
| title_fullStr | The benefit of adenomyomectomy on fertility outcomes in women with rectovaginal endometriosis with coexisting adenomyosis |
| title_full_unstemmed | The benefit of adenomyomectomy on fertility outcomes in women with rectovaginal endometriosis with coexisting adenomyosis |
| title_short | The benefit of adenomyomectomy on fertility outcomes in women with rectovaginal endometriosis with coexisting adenomyosis |
| title_sort | benefit of adenomyomectomy on fertility outcomes in women with rectovaginal endometriosis with coexisting adenomyosis |
| topic | adenomyosis endometriosis pregnancy rectovaginal surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2213307016300661 |
| work_keys_str_mv | AT yoheikishi thebenefitofadenomyomectomyonfertilityoutcomesinwomenwithrectovaginalendometriosiswithcoexistingadenomyosis AT makiyabuta thebenefitofadenomyomectomyonfertilityoutcomesinwomenwithrectovaginalendometriosiswithcoexistingadenomyosis AT yoheikishi benefitofadenomyomectomyonfertilityoutcomesinwomenwithrectovaginalendometriosiswithcoexistingadenomyosis AT makiyabuta benefitofadenomyomectomyonfertilityoutcomesinwomenwithrectovaginalendometriosiswithcoexistingadenomyosis |