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E
valuation
of
endometriosis
-
associated
pain
and
influence
of
conventional
treatment
:
a
systematic
review
R
ev
A
ssoc
M
ed
B
ras
2015; 61(6):507-518
509
TABLE 1
Pain scores before (pre-op) and after (post-op) laparoscopic surgery for endometriosis regarding the following pain symptoms: dysmenorrhea, pelvic pain,
dyspareunia, dyschezia and dysuria.
Garry et al.
7
Abbott et al.
8
Abbott et al.
9
Lyons et al.
11
Bassi et al.
21
Pre-op Post-op Pre-op Post-op Late surgery
Mean (SD)
Immediate surgery
Mean (SD)
Pre-op Post-op Mean
(SD)
Mean
(SD)
Median
(IQR)
Median
(IQR)
Median
(IQR)
Median
(IQR)
Before
6 months 12
months
Before 6 months 12 months Median
(IQR)
Median
(IQR)
Before
surgery
After
surgery
Dysmenorrhea 8 (7-9) 4 (1-7) 9 (7-9) 3.3 (2-7)
86.5 (16.7) 62.9 (27.4) 28.1 (32.8) 78.1 (23.7) 52.1 (25.6) 29.2 (26.9) 71 (43-85) 5 (0-10) 8.74 (1.84) 1.14 (2.06)
Pelvic pain 7 (3.5-8) 2 (0-6) 8 (6-9) 3 (0-5)
58.8 (28.1) 34.9 (31.5) 20.1 (24.2) 62.3 (24.4) 43.5 (29.3) 16.6 (22.2) 74 (48-85) 11 (0-18) 5.68 (3.45) 0.88 (1.78)
Dyspareunia 6 (0-9) 0 (0-4) 7 (5.5-9) 0 (0-4)
52.7 (36.5) 42.2 (37.1) 15.7 (24.9) 65.4 (26.2) 48.6 (31.3) 22.3 (29.9) 66 (0-98) 5 (0-8) 5.37 (3.67) 0.44 (1.15)
Dyschezia 4 (0-8) 0 (0-3.5) 7 (4-8) 2 (0-2)
50.8 (39.9) 32.7 (38.3) 22.1 (25.2) 44.6 (30.1) 30.1 (30.5) 25.1 (28.1) 48 (20-64) 20 (0-40) 5.62 (3.82) 0.65 (1.72)
Dysuria
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.56 (3.77) 0.36 (1.34)
IQR: interquartile range; NA: not analyzed, SD: standard deviation.
TABLE 2
Frequency and pain scores before surgery (pre-op) and postoperatively (post-op) regarding the following pain symptoms: dysmenorrhea, chronic pelvic pain
(CPP), dyspareunia, dysuria and dyschezia.
Mabrouk et al.
25
Setälä et al.
29
Mabrouk et al.
30
Frequency (mean VAS score)
Frequency (mean VAS)
Frequency (VAS score ± SD)
Pre-op
Post-op
Pre-op
Post-op
Pre-op
Post-op
Dysmenorrhea
99% (7±3)
23% (1±3)
100% (8.8)
82% (4.2)
77% (7±3)
23% (1±3)
CPP
63% (4±3)
18% (1±2)
82% (5.7)
54% (2.4)
57% (3±3)
15% (1±2)
Dyspareunia
76% (5±3)
23% (1±2)
82% (4.3)
31% (1.7)
77% (5±3)
26% (1±2)
Dysuria
34% (2±3)
6% (0±1)
50% (2.6)
14% (0.8)
39% (3±4)
5% (0±1)
Dyschezia
67% (5±4)
17% (1±2)
82% (5.7)
23% (1.2)
71% (5±4)
13% (1±2)
VAS: visual analog scale, SD: standard deviation.