title: The laparoscopic management of endometriosis in patients with pelvic pain.
abstract: Endometriosis, an underdiagnosed and undertreated condition, affects 1 in 10 women and is associated with pain and infertility. Preoperative evaluation should include testing and management of other causes of pelvic pain. Ultrasonography can aid in surgical planning. Hormonal suppression improves symptoms, but should not be used to diagnose endometriosis, and is not shown to be effective in preventing disease recurrence nor in improving fertility. The goal of surgical management should be optimal removal or treatment of disease and should include measures for adhesion prevention. Rates of recurrence of endometriosis depend on the surgical completeness of removing the disease.
authors.affiliation: Center for Endometriosis, Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics, Gynecology & Women's Health, Saint Louis University, 6420 Clayton Road, Suite 290, St Louis, MO 63117, USA. Electronic address: pyeung1@slu.edu.
authors.forename: Patrick
authors.initials: P
authors.lastname: Yeung
mesh_terms: D042241:Early Diagnosis; D004715:Endometriosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D059247:Fertility Preservation / Q000379:methods*; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000517:prevention & control*; D010535:Laparoscopy; D018579:Patient Selection; D017699:Pelvic Pain / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D011788:Quality of Life; D012008:Recurrence; D018570:Risk Assessment; D016896:Treatment Outcome
keywords: Diagnostic imaging; Endometriosis; Excision surgery; Laser surgery; Pelvic pain; Recurrence