دورية أكاديمية
أعرض في EDS

Correlation Between Surgical Phenotype and Pain Improvement After Endometriosis Surgery.

التفاصيل البيبلوغرافية
العنوان: Correlation Between Surgical Phenotype and Pain Improvement After Endometriosis Surgery.
المؤلفون: Bafort C; OBGYN/Leuven University Fertility Centre, University Hospitals Leuven, (Drs. Bafort, Mellaerts, Meuleman, and Tomassetti); Department of Development and Regeneration, KULeuven, Organ System (Drs. Bafort, Dancet, Meuleman, and Tomassetti), Leuven, Belgium. Electronic address: celine.bafort@uzleuven.be., Dancet E; Department of Development and Regeneration, KULeuven, Organ System (Drs. Bafort, Dancet, Meuleman, and Tomassetti), Leuven, Belgium., Mellaerts J; OBGYN/Leuven University Fertility Centre, University Hospitals Leuven, (Drs. Bafort, Mellaerts, Meuleman, and Tomassetti)., Meuleman C; OBGYN/Leuven University Fertility Centre, University Hospitals Leuven, (Drs. Bafort, Mellaerts, Meuleman, and Tomassetti); Department of Development and Regeneration, KULeuven, Organ System (Drs. Bafort, Dancet, Meuleman, and Tomassetti), Leuven, Belgium., Tomassetti C; OBGYN/Leuven University Fertility Centre, University Hospitals Leuven, (Drs. Bafort, Mellaerts, Meuleman, and Tomassetti); Department of Development and Regeneration, KULeuven, Organ System (Drs. Bafort, Dancet, Meuleman, and Tomassetti), Leuven, Belgium.
المصدر: Journal of minimally invasive gynecology [J Minim Invasive Gynecol] 2024 May; Vol. 31 (5), pp. 453-463.e4. Date of Electronic Publication: 2024 Feb 29.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101235322 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1553-4669 (Electronic) Linking ISSN: 15534650 NLM ISO Abbreviation: J Minim Invasive Gynecol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Philadelphia, PA : Elsevier, c2005-
مواضيع طبية MeSH: Endometriosis*/surgery , Endometriosis*/complications , Laparoscopy*/methods , Pain, Postoperative*/etiology , Dyspareunia*/etiology, Humans ; Female ; Adult ; Prospective Studies ; Longitudinal Studies ; Pain Measurement ; Surveys and Questionnaires ; Phenotype ; Treatment Outcome ; Pelvic Pain/surgery ; Pelvic Pain/etiology ; Middle Aged ; Gynecologic Surgical Procedures/methods
مستخلص: Study Objective: To examine pain improvement after endometriosis surgery and whether it can be predicted by the observed surgical phenotype.
Design: Prospective longitudinal survey study.
Setting: A University hospital.
Patients: A total of 125 patients completed a preoperative questionnaire (response rate: n = 227 of 277, 81.9%), had surgically confirmed endometriosis (n = 202 of 227), and returned a second postoperative questionnaire (response rate: n = 125 of 202, 61.9%).
Interventions: All patients underwent complete laparoscopic removal of the endometriotic lesions. Surgical phenotype was classified according to the rASRM and #Enzian classification.
Measurements and Main Results: The intensity of 5 specific pain symptoms was questioned by postal paper-pencil questionnaires with a numerical rating scale (0-10) both preoperatively (3.01 ± 2.72 months before surgery) and one year after surgery (12.62 ± 1.59 months). A postoperative pain improvement score was computed (postoperative pain-preoperative pain) for each specific pain symptom (0-10) and for the overall/global pain sum score (0-50). The mean intensity of all pain scores was lower postoperatively as compared with preoperatively (p <.0001). A statistically significant weak correlation was observed between the surgical phenotype "rectovaginal endometriosis" and postoperative improvement of dyspareunia (r = .265; p = .003). The other 11 hypothesized correlations between surgical phenotype and postoperative improvement of pain intensity failed to reach statistical significance.
Conclusion: Clinicians can inform patients that surgery is effective in reducing endometriosis-related pain symptoms and the overall/global pain scores at 12 months postoperatively. From our data, we can conclude that patients with rectovaginal endometriosis might benefit the most from the reduction of their sexual pain. On the basis of these results, we could suggest that deep dyspareunia (even if present as an isolated symptom) might be a valid indication for surgery. Further research could explore the association between a certain surgical phenotype and more detailed assessments of sexual functioning, as well as explore whether feedback from the surgeon on expected pain improvement affects patient-reported outcomes.
(Copyright © 2024 AAGL. Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Endometriosis; PROMs; Pain; Surgical phenotype
تواريخ الأحداث: Date Created: 20240301 Date Completed: 20240505 Latest Revision: 20240505
رمز التحديث: 20240506
DOI: 10.1016/j.jmig.2024.02.012
PMID: 38428576
قاعدة البيانات: MEDLINE
الوصف
تدمد:1553-4669
DOI:10.1016/j.jmig.2024.02.012