Women operated for recurrent endometrioma exhibit more multiple deep infiltrating endometriosis lesions - 09/11/23
, Louis Marcellin a, b, c, Pietro Santulli a, b, Mathilde Bourdon a, b, c, Lorraine Maitrot-Mantelet b, Chloé Maignien b, Bruno Borghese a, b, d, Charles Chapron a, b, c
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Highlights |
• | Recurrent endometrioma is linked to deep infiltrating endometriosis severity. |
• | Patients with recurrent endometrioma exhibit more multiple deep infiltrating lesions. |
• | Patients with recurrent endometrioma exhibit more digestive lesions. |
• | Recurrent endometrioma tied to worsened pelvic pain. |
Abstract |
Objective |
To determine whether recurrent endometriomas are associated with multiple deep infiltrating endometriosis (DIE) lesions.
Study Design |
This was an observational, cross-sectional, cohort study of 611 consecutive symptomatic women with endometrioma who underwent surgical treatment. We compared 124 patients with previous surgery for endometrioma (study group, PSO(+)) versus 487 patients without previous surgery for endometrioma (control group, PSO(−)). The primary outcome was the presence of multiple (≥2) DIE lesions. The secondary outcomes included painful associated symptoms, the presence of intestinal lesions, and the mean total revised American Society for Reproductive Medicine (rASMR) scores.
Results |
The occurrence of DIE lesions was higher in the PSO(+) group than in the PSO(−) group (67.7% vs. 37.3%, respectively; p < 0.01). Among the patients with DIE, more patients had multiple (≥ 2) lesions in the PSO(+) group than in the PSO(−) group: 91.7% vs. 77.8%, respectively; p < 0.01. The patients in the PSO(+) group had more painful symptoms than did the patients in the PSO(−) group (90.9% vs. 74.5%, respectively; p < 0.01). Intestinal lesions were more frequently observed in the PSO(+) group than in the PSO(−) group: 55.6% vs. 19.1%, respectively; p < 0.01. The patients in the PSO(+) group had a higher rASRM mean score than the patients in the PSO(−) group (65.0 vs. 46.1, respectively; p < 0.01). After adjusting for confounding factors, PSO was significantly associated with the presence of multiple DIE lesions (OR 4.1).
Conclusions |
Recurrence of endometrioma is a marker of DIE severity with more multiple lesions.
Il testo completo di questo articolo è disponibile in PDF.Abbreviations : PSO, rASMR, SUP, DIE, OMA, AMH
Keywords : Endometriosis, Endometrioma, Deep infiltrating endometriosis, Recurrence, Surgery
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Articolo 100050- Dicembre 2023 Ritorno al numero
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