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Treatment efficacy for pain complaints in women with endometriosis of the lesser pelvis after laparoscopic electroablation vs. CO2 laser ablation
- Source :
- Lasers in Medical Science
- Publication Year :
- 2015
-
Abstract
- Endometriosis is a chronic disease affecting mainly women of the reproductive age. Its most common manifestations include impaired fecundity, pelvic pain, and dyschezia. Laparoscopic removal of endometriotic foci remains to be the gold standard for the treatment of endometriosis. More effective techniques of endoscopic approach—among others, laser application—are continually being developed. The aim of the study was to evaluate the efficacy of laparoscopic treatment with the use of CO2 laser ablation vs. electroablation with regard to pain complaints in the affected patients. The study included 48 women (aged 22–42) with varying degrees of endometriosis of the lesser pelvis. The Numeric Rating Scale (NRS) was used to evaluate pain intensity before the surgery in all patients, followed by either laser ablation or electroablation of the endometriotic foci. The results of the laparoscopic treatment were monitored after 3 and 6 months postoperatively. p value of 0.05 was considered to be statistically significant. Patients from both groups reported less intensive pain before/during menstruation (dysmenorrhea) 6 months postoperatively, with more distinct tendency in the electroablation group (p = 0.004) as compared to the laser ablation group (p = 0.025). Despite the initial improvement reported at the 3-month checkup (p = 0.008), 6 months postoperatively, a statistically significant increase in pain intensity was noted in both groups (p = 0.016 and p = 0.032 for CO2 laser ablation and electroablation, respectively). Both surgical methods seem to be effective only in the treatment of endometriosis-related dysmenorrhea, whereas the intensity of other pain complaints (dyspareunia, dysuria, dyschezia, pelvic pain syndrome (PPS)) has remained on the same level.
- Subjects :
- Adult
medicine.medical_specialty
medicine.medical_treatment
Endometriosis
Dermatology
Pelvic Pain
Young Adult
medicine
Humans
Dysuria
Young adult
Laparoscopy
Lesser Pelvis
medicine.diagnostic_test
business.industry
Pelvic pain
Gold standard
Ablation
medicine.disease
Laser CO2 vaporization
Lesser pelvis
Surgery
Dyspareunia
Treatment Outcome
Electroablation
Lasers, Gas
Female
Original Article
Laser Therapy
medicine.symptom
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Lasers in Medical Science
- Accession number :
- edsair.doi.dedup.....16795d24560f5b5090bfd236bcbaedbd