Between 1st January, 1997 and 31st December, 2003 the authors performed 465 laparoscopies for chronic pelvic pain. Endometriosis was diagnosed as underlying pathology in 118 cases. Staging of the endometriosis was accomplished according to the modified recommendation for classification and staging of pelvic endometriosis by the American Fertility Society. Stage I, II, III, and IV endometriosis was found in 3, 51, 43, and 21 patients, respectively. The type of laparoscopic surgical intervention for the treatment of endometriosis was either complete or partial excision, electric or CO 2-laser cauterization, as well as dissection of the pelvic adhesions and utero-sacral nerve ablation. As a result of the combined medical (6-months GnRH analogue) and surgical treatment, dysmenorrhoea improved significantly after two months, however there was no further improvement in the other symptoms. Dyspareunia remained unchanged even after the combined therapy. Pelvic pain decreased three months following the surgery and showed a further improvement by the end of the 6th-month, GnRH analogue treatment. The tenderness on physical examination and findings of bimanual pelvic examination started to improve three months after implementation of the combined therapy, and improved gradually until completion of the 6-months GnRH analogue medication. Based on our clinical experience patients suffering from chronic pelvic pain due to endometriosis, require a careful endoscopic survey, their treatment should follow strict professional therapeutic regimens, but always has to be adjusted to fit the individual.
|Translated title of the contribution||Clinical experiences with laparoscopic diagnosis and combined treatment for chronic pelvic pain due to endometriosis|
|Number of pages||6|
|Journal||Magyar Noorvosok Lapja|
|Publication status||Published - Nov 17 2006|
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynaecology