Skip to main content

Management of Recurrent Endometriosis After Hysterectomy and Bilateral Salpingo-Oophorectomy

  • Chapter
  • 136 Accesses

Abstract

Persistent or recurrent endometriosis after a total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH BSO) has been reported by several investigators.1–3 Although many aspects of endometriosis are incompletely understood, the stimulation and growth of endometrial implants by cyclic ovarian steroids has been demonstrated. Therefore, removing this cyclic stimulation should permit the disease to regress. We don’t know the exact incidence of recurrent endometriosis after “definitive” surgery, but it is thought to be extremely rare following TAH BSO even when the woman takes hormone replacement therapy.4 Several investigators have published reviews with small patient numbers. In 1970, Ranney reported no recurrences when estrogen replacement was not given but a 3% recurrence rate if replacement was given.5 In the same decade, Gray reported no recurrence without hormonal replacement therapy compared with a 20% rate if estrogen therapy was initiated.6

Keywords

  • Obstet Gynecol
  • GnRH Agonist
  • Hormonal Replacement Therapy
  • Endometriotic Lesion
  • Pelvic Endometriosis

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-1-4613-8404-5_18
  • Chapter length: 4 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   109.00
Price excludes VAT (USA)
  • ISBN: 978-1-4613-8404-5
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   139.99
Price excludes VAT (USA)

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Schram JD. Endometriosis after “Pelvic Cleanout.” Southern Med J 1978;71(11):1419–1420.

    PubMed  CAS  Google Scholar 

  2. Dmowski WP, Radwanska E, Rana N. Recurrent endometriosis following hysterectomy and oophorectomy: the role of residual ovarian fragments. Int J Gynecol Obstet 1988;26:93–103.

    CrossRef  CAS  Google Scholar 

  3. Metzger DA, Lessey BA, Soper JT, et al. Hormone-resistant endometriosis following total abdominal hysterectomy and bilateral salpingo-oophorectomy: correlation with histology and steroid receptor content. Obstet Gynecol 1001;78(5):946–950.

    Google Scholar 

  4. Punnonen R, Klemi PJ, Nikkanen V. Postmenopausal endometriosis. Europ J Obstet Gynec Reprod Biol 1980; 11:195–200.

    PubMed  CrossRef  CAS  Google Scholar 

  5. Ranney B. Endometriosis. Conservative Operations. Am J Obstet Gynecol 1970;107:743–753.

    PubMed  CAS  Google Scholar 

  6. Gray LA. Endometriosis of the bowel: role of bowel resection, superficial excision, and oophorectomy in treatment. Ann Surg 1973;177:580–587.

    PubMed  CrossRef  CAS  Google Scholar 

  7. Kempers RD, Dockerty MB, Hunt AB, et al. Significant postmenopausal endometriosis. Surg Gyn Obstet 1960; (91):348–356.

    Google Scholar 

  8. Vorstman B, Lynne C, Politano VA. Postmenopausal vesical endometriosis. Urology 1983;22(5):540–542.

    PubMed  CrossRef  CAS  Google Scholar 

  9. Sampson JA. Intestinal adenomas of the endometrial type. Arch Surg 1922;5:217.

    Google Scholar 

  10. Schlaff WD, Dugoff L, Damewood WD, et al. The use of megestrol acetate in the treatment of endometriosis. Obstet Gynecol 1990;75(4):647.

    Google Scholar 

  11. Henzl MR, Corson SC, Moghissi K, et al. Administration of nasal nafarelin as compared with oral danazol for endometriosis. N Engl J Med 1988;318:485.

    PubMed  CrossRef  CAS  Google Scholar 

  12. Martin DC, Hubert GD, Vander Zwaag R, et al. Laparoscopic appearances of peritoneal endometriosis. Fertil Steril 1989;51:63.

    PubMed  CAS  Google Scholar 

  13. Cornillie FJ, Oosterlynck D, Lanneryns JM, et al. Deeply infiltrating pelvic endometriosis: histology and clinical significance. Fertil Steril 1990;53:978.

    PubMed  CAS  Google Scholar 

  14. Jansen RP, Russell P. Nonpigmented endometriosis: clinical, laparoscopic, and pathologic definition. Am J Obstet Gynecol 1986;155:1154.

    PubMed  CAS  Google Scholar 

  15. Heaps JM, Nieberg RK, Berck JS. Malignant neoplasms arising in endometriosis. Obstet Gynecol 1990;75:1023–1028.

    PubMed  CAS  Google Scholar 

  16. Addison WA, Hammond CB, Parker RT. The occurrence of adenocarcinoma in endometriosis of the rectovaginal septum during progestational therapy. Gynecol Oncol 1979;8:193–197.

    PubMed  CrossRef  CAS  Google Scholar 

  17. Pettit PD, Raymond AL. Ovarian remnant syndrome: diagnostic dilemma and surgical challenge. Obstet Gynecol 1988;71:580.

    PubMed  CAS  Google Scholar 

  18. Metzger DA, Olive DL, Haney AF. Limited hormonal responsiveness of ectopic endometrium: histologic correlation with intrauterine endometrium. Hum Path 1988; 19:1417–1424.

    PubMed  CrossRef  CAS  Google Scholar 

  19. Lessey BA, Metzger DA, Haney AF, et al. Immuno-histochemical analysis of estrogen and progesterone receptors in endometriosis: comparison with normal endometrium during the menstrual cycle and the effect of medical therapy. Fertil Steril 1989;51(3):409–414.

    PubMed  CAS  Google Scholar 

  20. Markham SM, Carpenter SE, Rock JA. Extrapelvic endometriosis. Obstet Gynecol Clin N Amer 1989;16(1): 193–219.

    CAS  Google Scholar 

  21. Jenkinson EL, Brown WH. Endometriosis. A study of 117 cases with special reference to constricting lesions of the rectum and sigmoid colon. JAMA 1943;122:349.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 1995 Springer-Verlag New York, Inc.

About this chapter

Cite this chapter

Hasty, L.A., Murphy, A.A. (1995). Management of Recurrent Endometriosis After Hysterectomy and Bilateral Salpingo-Oophorectomy. In: Nezhat, C.R., Berger, G.S., Nezhat, F.R., Buttram, V.C., Nezhat, C.H. (eds) Endometriosis. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8404-5_18

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-8404-5_18

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-8406-9

  • Online ISBN: 978-1-4613-8404-5

  • eBook Packages: Springer Book Archive