“Evaluation of Quality of Life and Chronic Pelvic Pain in Women Aged 40
to 50 with Endometriosis Treated with Hysterectomy and Laparoscopic
Salpingo-Oophorectomy versus Conservative Laparoscopic Surgery”
Abstract
1.1. Introduction This study compares the impact of two
surgical treatments for endometriosis—hysterectomy with laparoscopic
salpingo-oophorectomy (radical surgery) versus conservative laparoscopic
surgery—on chronic pelvic pain and sexual quality of life in women
aged 40 to 50. 1.2. Methods In a prospective cohort
study, 145 women diagnosed with stage 4 endometriosis were recruited
from the endometriosis clinic at Hazrat Rasool Hospital, Tehran.
Participants were randomly assigned to undergo either radical surgery
(75 patients) or conservative surgery (70 patients). Data were collected
through physical exams, interviews, surveys, and lab tests. Primary
outcomes included chronic pelvic pain measured by the Visual Analog
Scale (VAS) and sexual quality of life assessed using the Sexual Quality
of Life Questionnaire for Women (SQOL-F). Patients were evaluated at
baseline, and then at 6 and 12 months post-surgery. 1.3.
Result Baseline comparisons showed significant differences between the
two groups in terms of age, BMI, and number of children. Radical surgery
resulted in greater long-term pain reduction but was associated with
lower overall patient satisfaction compared to conservative surgery. Six
and twelve months post-operation, the radical surgery group reported
zero dissatisfaction, whereas the conservative group had higher
dissatisfaction rates (25.7% and 27.1%, respectively). The
conservative group showed a significant improvement in sexual quality of
life scores one year post-surgery, despite initial lower scores. Radical
surgery was more effective in reducing chronic pelvic pain over the
study period. 1.4. Conclusion While radical surgery
offers superior pain relief for stage 4 endometriosis, conservative
surgery may provide better outcomes in terms of sexual quality of life
and patient satisfaction. The findings highlight the importance of
individualized treatment plans for women with severe endometriosis.