Tapasztalataink az endometriózis talaján kialakult krónikus alhasi fájdalom laporoszkópos diagnosztiká jával és kombinált kezelésével

Translated title of the contribution: Clinical experiences with laparoscopic diagnosis and combined treatment for chronic pelvic pain due to endometriosis

István Drozgyik, László Halvax, Tamaś Csermely, I. Szabó

Research output: Contribution to journalArticle

Abstract

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.

Original languageHungarian
Pages (from-to)439-444
Number of pages6
JournalMagyar Noorvosok Lapja
Volume69
Issue number5
Publication statusPublished - 2006

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Pelvic Pain
Endometriosis
Chronic Pain
Gonadotropin-Releasing Hormone
Therapeutics
Dyspareunia
Cautery
Dysmenorrhea
Gynecological Examination
Carbon Monoxide
Laparoscopy
Physical Examination
Fertility
Dissection
Lasers
Pathology

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Tapasztalataink az endometriózis talaján kialakult krónikus alhasi fájdalom laporoszkópos diagnosztiká jával és kombinált kezelésével. / Drozgyik, István; Halvax, László; Csermely, Tamaś; Szabó, I.

In: Magyar Noorvosok Lapja, Vol. 69, No. 5, 2006, p. 439-444.

Research output: Contribution to journalArticle

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