title: Fertility rates, course of pregnancy and perinatal outcomes after laparoscopic ureterolysis for deep endometriosis: A long-term follow-up study.
abstract: We evaluated fertility rates, pregnancy course and maternal/neonatal outcomes following laparoscopic ureterolysis for deep endometriosis. Data about women who underwent laparoscopic excision of ureteral endometriosis were analysed. After exclusion of women who underwent hysterectomy/bilateral adnexectomy at initial surgery, and those lost-to-follow-up or with follow-up <1 year, a total of 61 patients were included. Of them, 36 (59%) wished to conceive after surgery. Twenty women became pregnant: nine (45%) of them after assisted reproductive technologies. Twenty-six pregnancies were observed with four (15.6%) miscarriages. Median gestational week at delivery was 38 weeks + 2 days (range, 33 + 1-41 + 6), with three (13.6%) and two (9%) deliveries before 37 and 34 weeks, respectively. Nine caesarean sections were performed (40.9%). Fertility rates after laparoscopic ureterolysis are comparable to those of other women operated for other forms of deep endometriosis. Apart from a higher risk of caesarean and preterm birth, the course of pregnancy and peripartum outcomes appear encouraging.
authors.affiliation: a Department of Obstetrics and Gynecology University of Insubria, Del Ponte Hospital , Varese , Italy and.
authors.forename: Stefano
authors.initials: S
authors.lastname: Uccella
authors.affiliation: a Department of Obstetrics and Gynecology University of Insubria, Del Ponte Hospital , Varese , Italy and.
authors.forename: Antonella
authors.initials: A
authors.lastname: Cromi
authors.affiliation: b Department of Neonatology and Neonatal Intensive Care Unit , University of Insubria, Del Ponte Hospital , Varese , Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Agosti
authors.affiliation: a Department of Obstetrics and Gynecology University of Insubria, Del Ponte Hospital , Varese , Italy and.
authors.forename: Jvan
authors.initials: J
authors.lastname: Casarin
authors.affiliation: a Department of Obstetrics and Gynecology University of Insubria, Del Ponte Hospital , Varese , Italy and.
authors.forename: Ciro
authors.initials: C
authors.lastname: Pinelli
authors.affiliation: a Department of Obstetrics and Gynecology University of Insubria, Del Ponte Hospital , Varese , Italy and.
authors.forename: Nicola
authors.initials: N
authors.lastname: Marconi
authors.affiliation: a Department of Obstetrics and Gynecology University of Insubria, Del Ponte Hospital , Varese , Italy and.
authors.forename: Francesca
authors.initials: F
authors.lastname: Bertoli
authors.affiliation: a Department of Obstetrics and Gynecology University of Insubria, Del Ponte Hospital , Varese , Italy and.
authors.forename: Carolina
authors.initials: C
authors.lastname: Podesta'-Alluvion
authors.affiliation: a Department of Obstetrics and Gynecology University of Insubria, Del Ponte Hospital , Varese , Italy and.
authors.forename: Fabio
authors.initials: F
authors.lastname: Ghezzi
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D011247:Pregnancy; D011256:Pregnancy Outcome; D018873:Pregnancy Rate; D016896:Treatment Outcome; D018666:Ureteroscopy / Q000379:methods*; D055815:Young Adult
keywords: Ureteral endometriosis; fertility; laparoscopy; perinatal outcomes; pregnancy