Prevalence of Endometriosis in Women Undergoing Laparoscopic Surgery for Various Gynecological Indications

Author(s): Dr. Sabrin Farhad, Dr. Md. Roknuzzman, Dr. Afroza Akhtar

Background:

Endometriosis refers the presence of endometrial tissues both gland and stroma other than the uterine cavity. Endometriosis often presents with nonspecific symptoms like chronic pelvic pain, dysmenorrhea, and infertility, making clinical diagnosis challenging. Laparoscopy, the gold standard for diagnosing endometriosis, allows direct visualization of endometrial implants. Understanding its prevalence can enhance diagnostic and therapeutic approaches. This study aimed to assess the prevalence of endometriosis in women undergoing laparoscopic surgery for various gynecological indications.

Methods:

This retrospective study was conducted in the Department of Gynae & Obs, Uttara Adhunik Medical College Hospital, Dhaka, Bangladesh from January 2021 to December 2021. A total of 117 cases undergoing various laparoscopic procedures were enrolled in this study. A random sampling technique was used for sample selection, and data were analyzed using MS Office tools.

Results:

The mean age of our participants was 33.08 ± 7.35 years. More than half of them (53%) underwent diagnostic laparoscopy. Additionally, procedures including ovarian cystectomy, salpingectomy, tubal ligation, laparoscopic oophorectomy, and assisted vaginal hysterectomy were performed in 25%, 10%, 9%, 2%, and 1% of cases, respectively. The overall prevalence of endometriosis among all patients was 15%. Subtype analysis indicated that typical endometriosis was present in 44.44% of cases, while subtle, cystic, and deep endometriosis were observed in 27.78%, 22.22%, and 5.56% of cases, respectively.

Conclusion:

Endometriosis is frequently identified in women undergoing laparoscopic surgery for diverse gynecological indications. This underscores the importance of recognizing its prevalence across clinical contexts to better inform patient counseling and guide appropriate surgical management