[Clinical and endocrine effects of laparoscopic ovarian surgery in patients with polycystic ovary syndrome].
OBJECTIVE
Is minimal invasive ovarian surgery an alternative infertility treatment for patients with polycystic ovary (PCO) syndrome?


METHODS
52 anovulatory patients with the clinical and endocrine characteristics of PCO syndrome were treated with laparoscopic Nd: YAK (n = 11) or CO2 (n = 41) laser surgery to drain atretic follicles and destroy the ovarian stroma.


RESULTS
Following surgical reduction of serum androgen and estrogen levels (p < 0,01), 83% of the PCO patients ovulated spontaneously or following ovulation induction; pregnancies occurred in 38%. At re-laparoscopies, 86% of patients had no periovarian adhesions.


CONCLUSIONS
Since laparoscopic laser surgery is capable of inducing profound clinical and endocrine effects, it may represents a feasible alternative for infertility treatment in PCO patients.
Rossmanith
W G
WG
Universitäts-Frauenklinik, Ulm.
Ulrich
U
U
Keckstein
J
J
D000328:Adult; D000858:Anovulation / Q000097:blood / Q000601:surgery*; D005260:Female; D012739:Gonadal Steroid Hormones / Q000097:blood*; D006801:Humans; D010535:Laparoscopy; D053685:Laser Therapy; D011085:Polycystic Ovary Syndrome / Q000097:blood / Q000601:surgery*; D011183:Postoperative Complications / Q000097:blood*; D011247:Pregnancy; D012086:Reoperation; D016896:Treatment Outcome
D012739:Gonadal Steroid Hormones
Klinische und endokrine Effekte laparoskopischer Ovarchirurgie bei Patientinnen mit polyzystischem Ovar-Syndrom (PCO).