Inflammation calls for more: Severe pelvic inflammatory disease with or without endometriosis. Outcomes on 311 laparoscopically treated women

Abstract

ObjectiveTo study possible associations between endometriosis and pelvic inflammatory disease (PID). DesignRetrospective cohort analysis over 14 consecutive years, based on medical records and insurance coding in a tertiary care endometriosis reference center. SettingTertiary care reference center for endometriosis. PatientsRetrospective analysis on all women submitted to laparoscopy in our Unit Main Outcome MeasuresIntra-operative data about complications and fertility-impairing procedures, intra-, peri- and post-operative complications. InterventionsRetrospective disease codes–triggered chart analysis. ResultsThe study population was divided into two groups: Group 1 included women with PID and no endometriosis (n = 115); Group 2 included women with PID and endometriosis (n = 96). Endometriosis had a prevalence of 63 % in patients submitted to surgery for PID, significantly higher than the one reported in general population and than the one reported in a Tertiary Care Endometriosis Unit.A significantly higher number of salpingectiomes was needed in group 2 patients (208 versus 80, p < 0.0001). ConclusionsThis study seems to confirm an higher prevalence of pelvic inflammatory disease in endometriosis patients.Intra-operative findings of PID with associated endometriosis show more aggressive patterns