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05-12-2010 | Gynaecology | Article

No difference in endometriosis pain reduction after ablation, excision


Journal abstract

MedWire News: Study results show no significant difference in the reduction of pain in endometriosis patients treated laparoscopically with excision, or ablation.

"Increasingly, claims are being made within the popular press and on the Internet that one method is better than the other," say Martin Healey and colleagues from the Royal Women's Hospital in Melbourne, Australia.

To investigate, the team used 103 endometriosis patients' pain scores in the year after treatment to compare the effects of these two treatment methods.

The women completed a questionnaire assessing pain types and severity before ablation (n = 49) and excision (n = 54) surgery, and every 3 months afterwards for a year.

No significant differences in pain scores were noted between the ablation- and excision-treated patients before and after surgery, report Healey et al.

The mean preoperative overall pain score was 5.5 on the visual analogue scale (VAS; where 10 = most severe pain score) in the excision group, which reduced to 2.4 postoperatively. Respective scores for ablation-treated patients were 6.2 and 3.2.

However, the research team concludes: "Nonsignificant trends suggest that a larger study may find a difference in outcomes looking at dyspareunia [pain during sexual intercourse] or dyschezia [pain on defecation]."

MedWire ( is an independent clinical news service provided by Current Medicine Group, a trading division of Springer Healthcare Limited. © Springer Healthcare Ltd; 2010

By Sarah Guy