Medical therapy for preventing recurrent endometriosis after conservative surgery: a cost ‐effectiveness analysis

ConclusionSix months of therapy with GnRH‐a can be a highly cost‐effective option for the prevention of endometriosis recurrence.This article is protected by copyright. All rights reserved.
Source: BJOG: An International Journal of Obstetrics and Gynaecology - Category: OBGYN Authors: Tags: Main Research Article Source Type: research

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ConclusionUsing a 3 T MRI system without patient preparation is feasible and achieves benchmark diagnostic performance outcomes in the pre-operative assessment for DIE, especially in detecting posterior compartment lesions and bowel DIE to correctly guide surgical planning.
Source: European Journal of Radiology - Category: Radiology Source Type: research
Conclusion Using a 3 T MRI system without patient preparation is feasible and achieves benchmark diagnostic performance outcomes in the pre-operative assessment for DIE, especially in detecting posterior compartment lesions and bowel DIE to correctly guide surgical planning.
Source: European Journal of Radiology - Category: Radiology Source Type: research
Conclusion Using a 3 Tesla MRI system without patient preparation is feasible and achieves benchmark diagnostic performance outcomes in the pre-operative assessment for DIE, especially in detecting posterior compartment lesions and bowel DIE to correctly guide surgical planning.
Source: European Journal of Radiology - Category: Radiology Source Type: research
CONCLUSION Endometriosis as a differential should be considered with a high index of suspicion in pre-menopausal women, particularly in patients with negligible previous surgical history. There should be a low threshold for early laparoscopy and resection of affected bowel in these patients.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
CONCLUSION: Six months of therapy with GnRH-a can be a highly cost-effective option for the prevention of endometriosis recurrence. This article is protected by copyright. All rights reserved. PMID: 28613432 [PubMed - as supplied by publisher]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - Category: OBGYN Authors: Tags: BJOG Source Type: research
The post What a pain! – Lisa’s story appeared first on Hysterectomy Association. I knew I had endometriosis as it had a laparoscopy that identified this in my mid thirties as part of infertility investigations. I tried ICSI once after that and paid privately but we were unsuccessful in having a baby. We carried on ‘leaving it up to nature’ for many years after that but nothing happened. At the age of forty three we decided that we wouldn’t actively pursue my getting pregnant any more and put the idea to bed – my husband has a 17 yr old daughter from a previous marriage and she lives...
Source: The Hysterectomy Association - Category: OBGYN Authors: Tags: Your Stories endometriosis Source Type: news
In this study, there were included 71 patients who underwent a laparoscopic intervention for adnexal tumors. The average age was 33 years old (range 18 and 60 years old). The ultrasound findings were ovarian endometriosis in 23.9% of cases, left ovarian cysts (22.5%) and right ovarian tumors (18.3%), and the lowest percentage was of left ovarian tumors (8.5%). Regarding the histopathological examination, we found the following results: ovarian endometriosis (32.4%), ovarian functional cysts (15.5%), serous ovarian cysts (15.5%), salpingitis (12.7%), ovarian myoma (7%), papillary serous ovarian cysts (4.2%), ovarian teratom...
Source: Romanian Journal of Morphology and Embryology - Category: Journals (General) Tags: Rom J Morphol Embryol Source Type: research
Semin Reprod Med DOI: 10.1055/s-0036-1597306Surgical approaches to endometriosis patients with chronic pelvic pain are multimodal and require individualization. Laparoscopic approaches are preferred over laparotomy when conservatively treating endometriosis via excision or ablation/fulguration of lesions. The available data support cystectomy over fenestration or fulguration for endometriomas; however, there may be associated decreases in ovarian reserve with endometrioma treatment. Presacral neurectomy may be useful in patients with midline pain and LUNA is not effective for the treatment of pelvic pain related to endomet...
Source: Seminars in Reproductive Medicine - Category: Reproduction Medicine Authors: Tags: Review Article Source Type: research
Sex is usually thought of as a pleasurable experience culminating into a cascade of sensual and enjoyable feelings. But for some women this is far from their reality. Sex may hurt and when it does, it can have a profound effect on their relationship with their partner. It is estimated between 30 to 50% of women will experience some sort of painful sex in their lifetime. Pain during the point of penetration is the most common symptom and is often described as being sharp or burning. Another common symptom is pain felt deep within the vaginal area once penetration has occurred. Other painful symptoms women may feel include ...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
We report a case of a primary vaginal adenosarcoma with sarcomatous overgrowth in a post-menopausal 58-year-old woman with recurrent endometriosis. During the last five years she underwent several biopsies of a polipoid lesion on the vaginal cuff, last histological examination of the biopsy evidenced adenosarcoma with “sarcomatous overgrowth” in a background of endometriosis. There was no evidence of distant metastatic disease on the diagnostic workup and we performed a laparoscopy to remove the pelvic mass. We reviewed the literatureon the electronic databases Medline, Embase, and Science Direct considering pa...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
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