Women’s Pain Experience Predicts Future Surgery for Pain Associated With Endometriosis

Surgical treatment of endometriosis: a prospective randomized double-blinded trial comparing excision and ablation

“…Their subject group included 41% with revised AFS stage IV disease. In contrast, Jarrell et al (12) performed a placebocontrolled trial of endometriosis excision in 30 subjects and found a significant reduction in symptoms in both cases and controls but no difference between the two groups.…”

Endometriosis and Abdominal Myofascial Pain in Adults and Adolescents

“…Although the presence of the endometriotic implants has been considered to be the cause of the pelvic pain, there are certain aspects that have raised questions among some investigators: anti-inflammatory medication does not always provide complete or even partial benefit; excision of endometriosis does not always reduce pain; and reduction in estrogen stimulation of ectopic implants similarly does not always reduce pain [26,27]. An additional explanation of the processes associated with the development of pain also has been offered.…”

“…Surgical excision of the lesions of endometriosis has varied reports of success, with some evidence of effectiveness [74][75][76][77]. These findings have not been uniformly successful in sham surgical trials, particularly in the excision of early-stage disease [26,27]. A balanced review recently was published [2••].…”

Myofascial Dysfunction and Its Relationship to Laparoscopy

“…Most of the cases had early disease, identified as stage 1 or 2 by the American Fertility Society and peritoneal in location. Long term follow-up of the study indicated there was no difference in the time to the next operation undertaken for pelvic pain by survival analysis 53 . One of the interesting features was the observation that the level of pain from the first Pre-operative assessment predicted the time of subsequent surgery.…”