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Radical, fertility-sparing surgery improves pain: early results are called 'encouraging' in the first study reporting treatment outcomes in adolescents.(Gynecology)
LONDON -- Radical, fertility-sparing excision of severe endometriosis in adolescent girls can eliminate or greatly improve pain, reported Andreas I. Stavroulis, M.D., at the annual congress of the International Society for Gynecologic Endoscopy.
"This is the first study reporting the outcome of radical excision treatment for severe endometriosis in this age-group, and early results are encouraging," reported Dr. Stavroulis of the endometriosis unit, University College London Hospitals.
Dr. Stavroulis and his colleagues reviewed the cases of 31 girls under age 20 years who underwent laparoscopy to investigate chronic pelvic pain, which had failed to respond to medical treatment.
No pelvic abnormalities were found in 11 patients, and endometriosis was detected in 11. Other diagnoses included four nonfunctional nonendometriotic ovarian cysts, one functional ovarian cyst, one bilateral and one unilateral hydrosalpinx, and two obstructed uterine horns.
Of the 11 patients with endometriosis, 6 had severe disease that was treated with radical excision, and there were no complications. Five were rendered pain free, while one had improved symptoms, he said.
"Our follow-up is ...
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Source: HighBeam Research, Radical, fertility-sparing surgery improves pain: early results are...