Pregnancy rates following ablative laparoscopic surgery for endometriomas.
BACKGROUND
In this prospective, cohort study we present the cumulative pregnancy rate following ablative laparoscopic surgery in patients with endometriomas.


METHODS
The cyst was mobilized, fenestrated, and the capsule treated with the potassium-titanyl-phosphate (KTP) laser or bipolar diathermy. Pre- and post-operative transvaginal ultrasound scans were performed, and a detailed fertility history recorded.


RESULTS
There were 39 women (38 intention to treat as a single procedure) who had been trying to conceive for >12 months. The mean age of the patients was 33.8 years (range 20-43), and there were 42 cysts (three bilateral) with a mean diameter of 4.8 cm (range 2-25). The mean revised American Fertility Society score was 64.9 (range 22-124), and 29 (74.4%) patients had stage IV disease. Seven patients (18%) had previously had a live birth, and 17 (43.6%) had undergone assisted conception in the past. The cumulative pregnancy rate was 15/38 (39.5%). The pregnancy rate in patients with stage IV disease was 11/28 (39.3%). There were no major complications.


CONCLUSIONS
Our results indicate that laparoscopic cyst fenestration and capsule ablation is a safe and effective treatment for improving fertility.
Jones
Kevin D
KD
Minimal Access Therapy Training Unit, The Royal Surrey County Hospital, Guildford GU2 7XX, UK. kjones@rschguildford.freeserve.co.uk
Sutton
C J G
CJ
D000328:Adult; D015331:Cohort Studies; D004715:Endometriosis / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000503:physiopathology; D010535:Laparoscopy; D011184:Postoperative Period; D011247:Pregnancy; D018873:Pregnancy Rate; D011446:Prospective Studies; D012720:Severity of Illness Index