Endometriosis Quality of Life Cohort Study: Long-term Impact of Radical Laparoscopic Excision of Endometriosis

Rose McDonnell, Jessica Gollow, Jessica Rachael Gollow, Elizabeth Nathan, Dorota Doherty, Dorota A. Doherty, Kingshuk Majumder, Eden Wilkinson, E. Wilkinson, Bernadette McElhinney, Krishnan Karthigasu, Roger Hart
Gynecology and minimally invasive therapy · 2025 · vol. 14(1) , pp. 57–65 · doi:10.4103/gmit.gmit_156_23 · PMID:40143984 · W4407996670
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Radical laparoscopic excision of endometriosis improved quality of life and reduced pain symptoms for up to 10 years post-surgery, with a majority of patients experiencing global health improvements and many achieving successful pregnancies.

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Abstract

Abstract Objectives: The objectives of this study were to determine if radical laparoscopic excision of endometriosis (RLEE) improves long-term outcomes in the quality of life (QOL) and symptomatology experienced by women with the disease. Secondary objectives include recurrence and reoperation rates and impact on fertility. Materials and Methods: Prospective observational cohort study Patients who underwent surgical management of histologically confirmed endometriosis completed pre- and postoperative QOL questionnaires. Results: Baseline preoperative scores on QOL questionnaires were lower than the population norms. Overall, 63.0% of patients improved their global health scores, and 57.5% of patients improved their health state scores from baseline to the most recent follow-up. On the Short Form-12 questionnaire, 63% of patients improved their physical and/or mental scores. Overall improvement was shown in Visual Analog Scale pain scores in menstrual pain (79.2% improved, median improvement 3, P < 0.001, n = 72), noncyclical pelvic pain (64.4% improved, median improvement 2, P < 0.001, n = 73), dyschezia (63.9% improved, median improvement 2, P < 0.001, n = 72), and dyspareunia (65.6% improved, median improvement 1, P = 0.002, n = 64 pairs). There was a significant reduction in discomfort 1–2 years after primary surgery among sexually active patients ( n = 23, pre- vs. postmedian score 4 vs. 2, P = 0.005). Repeat surgery was required in 36% of patients and 77.1% of those wishing to, achieved a successful pregnancy. Conclusion: RLEE significantly improves global health scores, with this improvement lasting up to 10 years following index surgery. It is also suggested that this management option has the capability of improving fertility outcomes in women with endometriosis.

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Outcome instruments

VAS-pain

Condition tags

endometriosisdyspareunia

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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