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February 22, 2026Gynecology and Minimally Invasive Therapy1 citationsOpen Access

Postoperative Outcomes on Endometriosis-related Pain Following Laparoscopic Adenomyomectomy: A Retrospective Cohort Study

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PMPruttaporn ManeeratWLWei-Li LinCLC LEE

Key Points

  • To evaluate postoperative pain remission in patients with adenomyosis after laparoscopic adenomyomectomy.
  • Retrospective review of 68 adenomyosis patients undergoing laparoscopic adenomyomectomy.
  • Analysis of pain remission using the visual analog scale for up to 24 weeks post-surgery.
  • Collection of fertility treatment data and recurrence of symptoms.
  • 100% of patients reported pain improvement at 6 weeks post-surgery.
  • 96.2% improvement at 12 weeks and 96.0% at 24 weeks post-surgery.
  • 7.7% experienced recurrence of pain symptoms during the follow-up.

Abstract

Abstract Objectives: The objective of this study was to evaluate postoperative remission of endometriotic-related pain in patients who underwent laparoscopic adenomyomectomy on patients with adenomyosis. Materials and Methods: Sixty-eight cases of patients with adenomyosis who underwent laparoscopic adenomyomectomy were retrospectively reviewed until the 24 th week after the surgery. Evaluation of the remission of pain using the visual analog scale was analyzed. Moreover, recurrence of symptoms and fertility outcomes were collected. Results: Eligible 26 patients were included in the final analysis. Pain symptoms were significantly improved in 100%, 96.2%, and 96.0% of patients at the 6 th , 12 th , and 24 th weeks of follow-up, respectively. No pregnancy was recorded, but 42.3% of patients underwent infertility treatment within the follow-up period. About 7.7% had a recurrence of pain symptoms during the study. Conclusion: Laparoscopic adenomyomectomy significantly improves dysmenorrhea and provides at least 24 weeks of good opportunity to undergo ovarian stimulation during the disease-free period. Pregnancy interval after adenomyomectomy might require a longer period. Thus, further studies should be conducted to evaluate pregnancy outcomes.

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Cite This Study

Maneerat et al. (2026) studied this question.

synapsesocial.com/papers/699a9d50482488d673cd312bhttps://doi.org/10.4103/gmit.gmit-d-24-00037
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