![]() However, the recurrence rate after conservative laparoscopic surgery is high 3, having been reported to be 21.5% at 2 years post-surgical and 40–50% at 5 years post-surgical among all age groups 4. Ovarian endometrioma is most prevalent in women between 40 and 44 years, and the incidence of this disease tends to decrease after menopause 2.Ĭonservative surgery is the standard treatment for ovarian endometrioma. Ovarian endometrioma is one of the most common benign gynecologic diseases with an estimated incidence of 10–20% in women of reproductive age 1. Post-operative medication did not reduce disease recurrence rate, and thus may be administered for endometriosis-associated pain rather than to prevent recurrence in patients aged 40–49 years. ![]() In multivariate analysis, large cyst size (> 5.5 cm) was only risk factor for recurrence in this age group. Recurrence was correlated with multilocular cysts ( p = 0.038), previous surgical history of ovarian endometrioma ( p = 0.006) and salpingectomy ( p = 0.043), but not use or duration of post-operative medication. Ovarian endometrioma recurred in 34 (8.3%) of included women and median time to recurrence was 22.4 ± 18.2 months. The median follow-up duration after surgery was 32.0 ± 25.9 months (range 6–125 months). Recurrence rate after conservative surgery and risk factor of recurrence were analyzed. ![]() Recurrence was defined as a cystic mass with diameter ≥ 2 cm detected by sonography. All patients underwent ovarian cyst enucleation, were pathologically diagnosed with ovarian endometrioma and were followed up for ≥ 6 months. This retrospective, single-center study included 408 women between January 2008 and November 2018. The aim of this study was to evaluate the rate of and risk factors for recurrence ovarian endometrioma after conservative surgery in patients aged 40–49 years. ![]()
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