Clinical characteristics difference between early and late recurrence of ovarian endometriosis after laparoscopic cystec
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GENERAL GYNECOLOGY
Clinical characteristics difference between early and late recurrence of ovarian endometriosis after laparoscopic cystectomy Xiaoyan Li1 · Wen Zhang2 · Xiaopei Chao1 · Yi Dai1 · Jinghua Shi1 · Shuangzheng Jia1 · Sikai Chen1 · Yushi Wu1 · Zhiyue Gu1 · Jinhua Leng1 Received: 5 February 2020 / Accepted: 18 June 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Background Ovarian endometriosis is the most frequent type of endometriosis. Despite the use of surgery and medication, many patients suffer from recurrence within near future. Currently, there are no effective clinical characteristics available to predict the time to recurrence in ovarian endometriosis patients. Purpose To identify the effective clinical indicators for early and late endometrioma recurrence, we compared the clinical characteristics of early and late recurrence after treatment. Methods We collected 358 patients with ovarian endometriosis who had a minimum of 5 years of postoperative follow-up after undergoing a laparoscopic excision of ovarian endometrioma performed at Peking Union Medical College Hospital from January 2009 to April 2013. Results A total of 358 patients were recruited in the validation set, with a median follow-up time of 83 months (60– 120 months). Till the last follow-up, 68 patients exhibited recurrence. Three-year and 5-year recurrence rates were 9.2% and 15.4%, respectively. Univariate analysis in our study showed that patient with endometrioma surgery history had higher incidence of recurrence in 3 years after re-surgery (OR: 5.594, P = 0.029). Univariate and multivariate analyses using the logistic regression showed that the presence of tenesmus before surgery affected the incidence of early recurrence with a ratio of 57.9% (11/19) and 89.5% (17/19) in 3 years and 5 years after surgery, respectively. Conclusions Presence of tenesmus before surgery may be linked to the early recurrence of endometrioma. Keywords Ovarian endometriosis · Early recurrence · Late recurrence · Laparoscopic cystectomy
Xiaoyan Li and Wen Zhang contribute equally to this article.
Abbreviations ART Artificial reproduction technology ASRM American Society for Reproductive Medicine BMI Body mass index
* Jinhua Leng [email protected]
Sikai Chen [email protected]
Xiaoyan Li [email protected]
Yushi Wu [email protected]
Wen Zhang [email protected]
Zhiyue Gu [email protected]
Xiaopei Chao [email protected]
1
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Science, Shuaifuyuan No. 1, Dongcheng District, Beijing 100730, China
2
Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China
Yi Dai [email protected] Jinghua Shi [email protected] Shuangzheng Jia [email protected]
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Vol.:(0123456789)
CA-125 Carbohydrate antigen 125 CI Confidence interval DIE Deep invasive endometriosis GnRHa Gona
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