The association of endosalpingiosis with chronic pelvic pain.

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY
Minerva obstetrics and gynecology Pub Date : 2024-04-01 Epub Date: 2023-02-27 DOI:10.23736/S2724-606X.23.05241-7
Summer Ghaith, Gregory K Lewis, Emily C Craver, Zhuo Li, Megan N Wasson, Tatnai L Burnett, Aakriti R Carrubba
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引用次数: 0

Abstract

Background: Endosalpingiosis is a pathologic diagnosis of ectopic epithelium resembling the fallopian tubes. It has been described with clinical characteristics that are similar to endometriosis. The primary objective is to determine if endosalpingiosis (ES) has a similar association with chronic pelvic pain when compared to endometriosis (EM).

Methods: This is a retrospective case-control analysis of patients with a histologic diagnosis of endosalpingiosis or endometriosis at three affiliated academic hospitals between 2000 and 2020. All ES patients were included, and 1:1 matching was attempted to obtain a comparable EM cohort. Demographic and clinical data were obtained, and statistical analysis was performed.

Results: A total of 967 patients (515 ES and 452 EM) were included. ES patients were significantly older than EM patients (median age 52 vs. 48 years, P<0.001), but other demographic variables were similar. Fewer ES patients had baseline chronic pelvic pain than EM patients (25.3% vs. 47%, P<0.001), and patients with ES were less likely to undergo surgery for the primary indication of pelvic pain (16.1% vs. 35.4%, P<0.001). Pelvic pain as the surgical indication remained lower in the ES group in multivariable analysis (OR=0.49, P<0.001). There were similar rates of persistent postoperative pain between ES and EM groups (10.1% vs. 13.5%, P=0.109).

Conclusions: Although endosalpingiosis can be associated with chronic pelvic pain, the incidence of pain is significantly lower than in patients who have endometriosis. These findings suggest that ES is a unique condition that differs from EM. Further research including long-term follow-up and patient-reported outcomes is imperative.

子宫内膜异位症与慢性盆腔疼痛的关系。
背景:输卵管内膜异位症是一种类似输卵管异位上皮的病理诊断。其临床特征与子宫内膜异位症相似。研究的主要目的是确定输卵管内膜异位症(ES)与子宫内膜异位症(EM)相比,是否与慢性盆腔疼痛有相似之处:这是一项回顾性病例对照分析,研究对象是 2000 年至 2020 年间在三所附属学术医院接受组织学诊断为内膜异位症或子宫内膜异位症的患者。所有 ES 患者均被纳入其中,并尝试进行 1:1 匹配以获得可比的 EM 队列。研究人员获得了人口统计学和临床数据,并进行了统计分析:共纳入 967 名患者(515 名 ES 患者和 452 名 EM 患者)。ES患者的年龄明显大于EM患者(中位年龄分别为52岁和48岁):尽管内膜异位症可能与慢性盆腔疼痛有关,但其疼痛发生率明显低于子宫内膜异位症患者。这些研究结果表明,内膜异位症是一种不同于子宫内膜异位症的独特病症。包括长期随访和患者报告结果在内的进一步研究势在必行。
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来源期刊
Minerva obstetrics and gynecology
Minerva obstetrics and gynecology OBSTETRICS & GYNECOLOGY-
CiteScore
2.90
自引率
11.10%
发文量
191
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