A comparison of treatment modalities in 69 patients with endometriosis and/or endometrioma and review of the literature

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dc.contributor.authorAğaçayak Elif
dc.contributor.authorAkdeniz N.
dc.contributor.authorSak S.
dc.contributor.authorPalanci Y.
dc.date.accessioned2024-04-24T17:58:24Z
dc.date.available2024-04-24T17:58:24Z
dc.date.issued2015
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: Treatment of endometriosis and/or endometrioma are much disscussed subject nowadays. In this study, our aim; was to compare treatment methods laparoscopy, laparotomy and combined treatment (surgery+medical) applied at our clinic of endometriosis and/or endometrioma with current literature knowledge, following postoperative pregnancy, pain, recurrence and CA-125 level. Material and Methods: A total of 69 patients who had endometriosis and/or endometrioma was observed intraoperatively and patients who had been referred with a diagnosis of chronic pelvic pain, infertility or endometrioma to Dicle University Faculty of Medicine, Obstetrics and Gynecology Department between June 2006 and June 2008 were included in the study. Data were obtained retrospectively scanning hospital records. Treatment to patients in our clinic were recorded. Pre-treatment and post-treatment pain history, levels of CA-125, CA15-3, CA19-9, history of infertility and ultrasonographics findings were recorded. Post-treatment outcomes relevant to pregnancy were determined. Among those who had become pregnant after treatment, the rates of spontaneous pregnancies, pregnancies due to ovulation induction and those due to IVF (in vitro fertilization) were determined. Results: Among 69 patients presenting to our outpatient clinic with complaints of chronic pelvic pain, infertility and endometrioma who were diagnosed with endometriosis and/or endometrioma intraoperatively, 40 underwent laparoscopy, 16 underwent laparotomy and 13 received combined treatment. In terms of age group, patients who had undergone laparotomy were significantly older (p=0.002). The study showed that pregnancy rates among the three patient groups after treatment and follow-up were not significantly different. Pregnancy rates of spontaneous, due to ovulation induction, in vitro fertilization when evaluated separetely were significantly higher pregnancy rates of spontaneous in laparoscopic group (p=0.036). Among the tumor markers, CA-125 had significantly decreased after treatment in all three groups (p<0.05), but CA-125 was observed more significant decreased laparoscopy group (p<0.001). Conclusion: In this study, among the three methods applied at our clinic, laparoscopy stands out due to higher spontaneous conceival rates and lower post-treatment CA-125 levels. Therefore we can say that a particular method should be chosen as a priority by the surgeon of laparoscopy in infertile patients. Copyright © 2015 by Türkiye Klinikleri.en_US
dc.identifier.doi10.5336/gynobstet.2014-41488
dc.identifier.endpage85en_US
dc.identifier.issn1300-0306
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-84929119708en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage76en_US
dc.identifier.urihttps://doi.org/10.5336/gynobstet.2014-41488
dc.identifier.urihttps://hdl.handle.net/11468/23897
dc.identifier.volume25en_US
dc.indekslendigikaynakScopus
dc.language.isotren_US
dc.publisherOrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S.en_US
dc.relation.ispartofTurkiye Klinikleri Jinekoloji Obstetriken_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectClinical Protocolsen_US
dc.subjectEndometriosisen_US
dc.subjectInfertility Femaleen_US
dc.subjectPelvic Painen_US
dc.titleA comparison of treatment modalities in 69 patients with endometriosis and/or endometrioma and review of the literatureen_US
dc.title.alternativeEndometriyoz ve/veya endometriyomalı 69 olgunun tedavi modalitelerinin karşılaştırılması ve literatürün incelenmesien_US
dc.typeArticleen_US

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