Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Oct 20;11(20):6192.
doi: 10.3390/jcm11206192.

Quality of Life in Women after Deep Endometriosis Surgery: Comparison with Spanish Standardized Values

Alicia Hernández  1   2 , Elena Muñoz  3 , David Ramiro-Cortijo  4 , Emanuela Spagnolo  1   2 , Ana Lopez  1   2 , Angela Sanz  1 , Cristina Redondo  1   2 , Patricia Salas  1   2 , Ignacio Cristobal  1
Affiliations

Quality of Life in Women after Deep Endometriosis Surgery: Comparison with Spanish Standardized Values

Alicia Hernández et al. J Clin Med. .

Abstract

The quality of life (QoL) of women who have been surgically treated for endometriosis may be severely impaired. Therefore, QoL can be a determining factor in the recovery of these patients. The aims of this study were to evaluate if the QoL of women surgically treated for deep endometriosis differs from a healthy age-matched population from Catalonia (Spain) and to analyze the QoL of these women considering concomitant events. This is an observational cross-sectional study, where 112 women (between 18 and 48 years old), with endometriosis treated by surgery at Hospital Universitario La Paz (Madrid, Spain), were enrolled to assess the QoL using the second version of the 12-item short form (SF-12) questionnaire. The QoL in these women were tested against a reference population of healthy women using a standardized one-sample comparison method. In addition, the QoL was compared according to the pathophysiology and type of surgery. In women with endometriosis, the physical health component, but not mental health component, was positively correlated with age (r = 0.19; p-Value = 0.048). In addition, physical (20.3 ± 29.2) and social functions (29.7 ± 38.3) and the overall physical health component (37.8 ± 19.4) were significantly lower than the reference population. On the contrary, the body pain (64.1 ± 41.2), emotional role (62.5 ± 42.2), mental health (54.4 ± 26.0), vitality (59.3 ± 31.2), and the overall mental health component (59.4 ± 26.6) had significantly higher scores than the reference. The anatomical compartment of endometriosis, reintervention, bowel nodule resection, and fertility preservation did not show statistical differences in QoL. Women with deep endometriosis had worse physical and social functions, and the overall physical health, compared to the norm in Spanish women. Bodily pain, emotional role, vitality, and the overall mental health improved. These areas could be considered protective factors in this disease. Considering the importance of QoL in adjustments in mental and physical health, it would be necessary to improve these areas of QoL in women surgically treated for deep endometriosis.

Keywords: deep endometriosis; laparoscopy; quality of life; short form of 12 items; surgery.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.

Similar articles

See all similar articles

Cited by

References

    1. Donnez O., Roman H. Choosing the Right Surgical Technique for Deep Endometriosis: Shaving, Disc Excision, or Bowel Resection? Fertil. Steril. 2017;108:931–942. doi: 10.1016/j.fertnstert.2017.09.006. - DOI - PubMed
    1. Halis G., Mechsner S., Ebert A.D. The Diagnosis and Treatment of Deep Infiltrating Endometriosis. Dtsch. Arztebl. Int. 2010;107:446–455; quiz 456. doi: 10.3238/arztebl.2010.0446. - DOI - PMC - PubMed
    1. Mehedintu C., Plotogea M.N., Ionescu S., Antonovici M. Endometriosis Still a Challenge. J. Med. Life. 2014;7:349–357. - PMC - PubMed
    1. Bazot M., Daraï E. Diagnosis of Deep Endometriosis: Clinical Examination, Ultrasonography, Magnetic Resonance Imaging, and Other Techniques. Fertil. Steril. 2017;108:886–894. doi: 10.1016/j.fertnstert.2017.10.026. - DOI - PubMed
    1. Rousset P., Peyron N., Charlot M., Chateau F., Golfier F., Raudrant D., Cotte E., Isaac S., Réty F., Valette P.-J. Bowel Endometriosis: Preoperative Diagnostic Accuracy of 3.0-T MR Enterography—Initial Results. Radiology. 2014;273:117–124. doi: 10.1148/radiol.14132803. - DOI - PubMed

LinkOut - more resources