Article (Scientific journals)
Impact of Adenomyosis and Endometriosis on Chronic Pelvic Pain after Niche Repair
Timmermans, Marie; Nisolle, Michelle; BRICHANT, Géraldine et al.
2023In Journal of Clinical Medicine, 12 (10), p. 3484
Peer Reviewed verified by ORBi
 

Files


Full Text
jcm-12-03484.pdf
Author postprint (275.59 kB)
Download

All documents in ORBi are protected by a user license.

Send to



Details



Keywords :
adenomyosis; endometriosis; isthmocele; chronic pelvic pain
Abstract :
[en] Chronic pelvic pain (CPP) is one of the main isthmocele symptoms, together with abnormal uterine bleeding and secondary infertility. When patients undergo a laparoscopic niche repair surgery, it is important to determine if they present associated pathologies, such as adenomyosis and/or endometriosis, which are also a cause of CPP. A retrospective study was performed on 31 patients with CPP undergoing a laparoscopic niche repair. The pre-operative ultrasound was analyzed to determine the presence of adenomyosis. Endometriosis was histologically diagnosed. CPP outcome was evaluated at early (3–6 months) and late (12 months) post-operative follow ups. In our population of 31 women presenting CPP, only six of them (19.4%) did not have any associated pathology. In the group of 25 patients with associated pathology, 10 (40%) had no benefit from the reconstructive surgery in terms of CPP at early follow-up (3–6 months) and 8 (32%) in the post-operative period at 12 months. Patients with CPP who undergo niche repair should be carefully selected as CPP does not seem to be a good indication for uterine scar repair in patients with concomitant adenomyosis and endometriosis.
Disciplines :
Reproductive medicine (gynecology, andrology, obstetrics)
Author, co-author :
Timmermans, Marie ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de gynécologie-obstétrique (CHR)
Nisolle, Michelle ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de gynécologie-obstétrique (CHR)
BRICHANT, Géraldine ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de gynécologie-obstétrique (CHR)
Henry, Laurie  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de gynécologie-obstétrique (CHR)
Gillet, Evy;  Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire Brugmann, Université Libre de Bruxelles, 1020 Brussels, Belgium
Kellner, Betty;  Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire Brugmann, Université Libre de Bruxelles, 1020 Brussels, Belgium
Karampelas, Stavros ;  Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire Brugmann, Université Libre de Bruxelles, 1020 Brussels, Belgium
Language :
English
Title :
Impact of Adenomyosis and Endometriosis on Chronic Pelvic Pain after Niche Repair
Publication date :
16 May 2023
Journal title :
Journal of Clinical Medicine
eISSN :
2077-0383
Publisher :
MDPI AG
Volume :
12
Issue :
10
Pages :
3484
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 19 June 2023

Statistics


Number of views
39 (5 by ULiège)
Number of downloads
28 (2 by ULiège)

Scopus citations®
 
0
Scopus citations®
without self-citations
0
OpenCitations
 
0

Bibliography


Similar publications



Contact ORBi