What is the efficacy of surgical ablation for the treatment of endometriosis?

Updated: May 10, 2021
  • Author: G Willy Davila, MD; Chief Editor: Michel E Rivlin, MD  more...
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Answer

In the short term, the absolute benefit for women undergoing surgical ablation of endometriosis is 30-40% over women having only diagnostic laparoscopy. This benefit is reduced over time, and the reoperation rate is as high as 50%. [99] In cases of rectovaginal endometriosis, significant short-term pain relief was reported by up to 80%, but at 1-year follow-up, 50% required analgesics or hormones for pain relief. During postoperative treatment, GnRH analogues resulted in significantly reduced pain scores in women who received treatment for 6 months.

Tubal flushing with oil-soluble media has been shown to improve pregnancy rates in women with endometriosis-associated infertility. [100]


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