Clinical factors that increase the risk for endometriosis recurrence.

Abstract

Introduction: Despite surgical treatment endometriosis can reoccur in up to 67% of patients. Diagnosing disease recurrence is challenging, as symptoms can present in the absence of lesions. Therefore, the decision to re-operate for suspected recurrent endometriosis is not a simple one. Conclusion and Impact: Routine clinical and surgical data collected from patients with confirmed disease recurrence identified several features that were associated with increased probability of recurrence. Those who self-report a previous diagnosis of endometriosis, self-report adenomyosis and had bowel disease (surgically visualised) are at increased risk of recurrence.