Ablation compared with excision in the surgical management of peritoneal endometriosis: a retrospective study of pain, re-operation, and pregnancy outcomes
Both excision and ablation using bipolar coagulation are effective surgical options for peritoneal endometriosis, leading to long-term pain relief and favorable fertility outcomes. Postoperative hormone therapy appears to enhance pain control, particularly for dysmenorrhea. Overall, symptom improvement was more strongly associated with time since surgery than with the specific surgical technique, supporting individualized and multimodal treatment strategies.
Authors
- Bastian Czogalla (ORCID: https://orcid.org/0000-0001-6589-4736)
- L. Ehmann
- Susanne Beyer (ORCID: https://orcid.org/0000-0001-8603-6714)
- Bernd Kost (ORCID: https://orcid.org/0000-0002-3131-4294)
- Franziska Ganster (ORCID: https://orcid.org/0009-0009-9919-360X)
- Thomas Kolben
- Fabian Trillsch
- Lennard Schröder
- Charlene Kaiser-Rix
- Simon Keckstein
- Christina Seifert
- Alexander Burges
- Sven Mahner
Institutions
- Gynecologic Oncology Group (US)
- LMU Klinikum (DE)
- Orthopädische Praxis (DE)
- Ludwig-Maximilians-Universität München (DE)
Publication Details
- Journal
- Archives of Gynecology and Obstetrics
- Published
- 2026-02-02
- DOI
- https://doi.org/10.1007/s00404-026-08331-4
- Primary Topic
- Endometriosis Research and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00