Do patients manage to achieve pregnancy after a major complication of deeply infiltrating endometriosis resection?
OBJECTIVE
To evaluate the fertility status in women suffering from major postoperative complications following deep endometriosis surgery.


METHODS
A retrospective study in teaching and research hospitals (tertiary centers) including 23 women submitted to the surgical treatment for deep endometriosis and presenting a major postoperative complication. Postoperatively, women desiring pregnancy who conceived were compared to those who did not conceive using Mann-Whitney test and Fisher's exact test. Main outcome measure included the pregnancy rate among these women.


RESULTS
The overall intrauterine pregnancy rate was 47.8% and the live birth rate was 30.4%. There were 10 spontaneous conceptions and 3 IVF conceptions among 11 patients. Women who did not conceive were older than those who conceived (33.9 vs. 29.3 years; p = 0.02). The pregnancy rate after intestinal complications was lower than after urinary complications (33.3% vs. 83.3%; p = 0.04).


CONCLUSIONS
Fertility remains preserved among women experiencing a major complication after removal of deep endometriosis with a live birth rate of 30.4%. Women experiencing bowel complications have a reduced probability of conception compared with those who experience a urologic complication.
CHU de Clermont-Ferrand, Polyclinique de l'Hôtel Dieu, Clermont-Ferrand, France. williamkondo@yahoo.com
William
W
Kondo
Emile
E
Daraï
Chadi
C
Yazbeck
Pierre
P
Panel
Stefano
S
Tamburro
Jean
J
Dubuisson
Kris
K
Jardon
Gérard
G
Mage
Patrick
P
Madelenat
Michel
M
Canis
D000328:Adult; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000209:etiology; D006801:Humans; D007247:Infertility, Female / Q000601:surgery*; D007410:Intestinal Diseases / Q000209:etiology; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies; D014555:Urination Disorders / Q000209:etiology