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Several studies investigated the reproductive outcomes after surgical treatment of colorectal endometriosis, mainly segmental colorectal resection. Little information is available on the spontaneous fertility of patients with bowel endometriosis. This study aims to evaluate the fertility of patients affected by rectosigmoid endometriosis who did not undergo previous surgical treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with rectosigmoid endometriosis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Expectant management | Behavioral | Patients did not undergo surgical treatment for endometriosis and medical consultations were done every 6 months from the beginning of the attempts to conceive |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical pregnancy rate | Ultrasonographic evidence of intrauterine gestational sac | 4-9 weeks after conception |
| Live birth rate | Complete expulsion or extraction from a woman of a product of fertilization after 22 completed weeks of gestational age, which, after such separation, breathes or shows any other evidence of life | 22 weeks after conception |
| Measure | Description | Time Frame |
|---|---|---|
| Number (%) of patients conceiving spontaneously/by Assisted Reproductive Technology | Modality of conception | Immediately after diagnosis of clinical pregnancy |
| Number (%) of patients undergoing vaginal delivery/delivering by cesarean section |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with rectosigmoid endometriosis not undergoing surgical treatment
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| IRCCS Ospedale Policlinico San Martino | Genoa | 16132 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17572918 | Background | Remorgida V, Ferrero S, Fulcheri E, Ragni N, Martin DC. Bowel endometriosis: presentation, diagnosis, and treatment. Obstet Gynecol Surv. 2007 Jul;62(7):461-70. doi: 10.1097/01.ogx.0000268688.55653.5c. |
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| ID | Term |
|---|---|
| D004715 | Endometriosis |
| ID | Term |
|---|---|
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D057832 | Watchful Waiting |
| ID | Term |
|---|---|
| D017063 | Outcome Assessment, Health Care |
| D010043 | Outcome and Process Assessment, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
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Modality of delivery
| 22-42 weeks after conception |
| D000091662 | Genital Diseases |