Ovarian Endometrioma In Subfertile Women: The Need For A New Surgical Staging
Abstract
Objective: To present a new surgical staging for ovarian endometriomos at time of laparoscopy in infertile women.
Study Design: Prospective clinical trial
Participants & Methods: After establishing a new surgical staging scheme, women diagnosed as having endometriomas during laparoscopy were managed applied according to the proposed staging scheme. Follow up for one year after laparoscopy was done to validate the surgical staging outcomes
Results: Seventy eight women were diagnosed as having endometriomas distributed as follow according to rAFS classification : stage I : 3 cases (9.6%), Stage II 4 cases (12.9%), Stage III 31 cases (38.7%) and finally stage IV 30 (38.7%). After management according to the proposed surgical staging, recurrence rate over one year was relatively low (12.7%), 52.2% of participants got pregnant within one year whether spontaneous pregnancy or after IVF.
Conclusion: The new surgical staging has achieved balance between conservative management and intervention by assisted reproduction after laparoscopic surgery of endometriomas.
Keywords: endometrioma, surgical staging, pregnancy, validity
Study Design: Prospective clinical trial
Participants & Methods: After establishing a new surgical staging scheme, women diagnosed as having endometriomas during laparoscopy were managed applied according to the proposed staging scheme. Follow up for one year after laparoscopy was done to validate the surgical staging outcomes
Results: Seventy eight women were diagnosed as having endometriomas distributed as follow according to rAFS classification : stage I : 3 cases (9.6%), Stage II 4 cases (12.9%), Stage III 31 cases (38.7%) and finally stage IV 30 (38.7%). After management according to the proposed surgical staging, recurrence rate over one year was relatively low (12.7%), 52.2% of participants got pregnant within one year whether spontaneous pregnancy or after IVF.
Conclusion: The new surgical staging has achieved balance between conservative management and intervention by assisted reproduction after laparoscopic surgery of endometriomas.
Keywords: endometrioma, surgical staging, pregnancy, validity