Publication:
Does the presence of endometriosis cause a challenge for transvaginal oocyte retrieval? A comparison between patients with and without endometriosis

dc.contributor.authorKasapoğlu, Işıl
dc.contributor.authorTürk, Pınar
dc.contributor.authorDayan, Aylin
dc.contributor.authorUncu, Gürkan
dc.contributor.buuauthorKASAPOĞLU, IŞIL
dc.contributor.buuauthorTürk, Pınar
dc.contributor.buuauthorDayan, Aylin
dc.contributor.buuauthorUNCU, GÜRKAN
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Kadın Hastalıkları ve Doğum Anabilim Dalı.
dc.contributor.researcheridAAT-3479-2021
dc.contributor.researcheridCXJ-7203-2022
dc.contributor.researcheridJJP-1980-2023
dc.contributor.researcheridETO-8465-2022
dc.date.accessioned2024-09-24T05:39:16Z
dc.date.available2024-09-24T05:39:16Z
dc.date.issued2018-03-12
dc.description.abstractObjective: The aim of the study was to compare patients with and without endometriosis regarding performance rates, difficulties, and complications associated with transvaginal oocyte retrieval (TVOR) procedures.Material and Methods: A prospective cohort study was conducted at the In Vitro Fertilization Unit of the Division of Reproductive Endocrinology and Infertility Department of a university hospital. Fifty-eight patients with endometriosis and 61 patients without endometriosis underwent TVOR procedures consecutively. Primary outcome measures were; number of needle entries per patient and performance rating defined as the total number of oocytes retrieved per vaginal needle entry. The requirement for manual compression of the abdominal wall (assistance) to reach the ovaries, procedure-related pain, and procedural complications were also evaluated.Results: The median number of needle entries through the vaginal wall per patient was comparable between the two groups (p=0.45). Performance rates were higher in the control group (p=0.001). Performance rates and total number of the needle entries through the vaginal wall were not significantly correlated with ovarian endometrioma (OMA) diameter (r=0.28; p=0.68; r=0.275, p=0.068, respectively) in the endometriosis group. Body mass index (BMI) scores were found to be correlated with the number of the needle entries and higher BMI scores were associated with higher numbers of vaginal wall punctures (p< 0.001). The requirement for manual compression of the abdominal wall was significantly higher in the control group (57.4% vs 27.6%, p=0.001). A similar proportion of women needed analgesic medications after the TVOR procedure in both groups (10.3% vs 16.9%, p=0.33). Hospital readmissions for any symptoms were also comparable between the two groups (p=0.22). Three women were treated for pelvic infection, all of whom were in the endometriosis group.Conclusion: Endometriosis seems to cause a challenge for TVOR that may have reflection on individual surgeon's performance rates for the procedure, independently from the diameter of a pre-existing OMA or ovarian adhesions. Obesity is another factor that may present a challenge for the procedure.
dc.identifier.doi10.4274/jtgga.2017.0146
dc.identifier.endpage157
dc.identifier.issn1309-0399
dc.identifier.issue3
dc.identifier.startpage151
dc.identifier.urihttps://doi.org/10.4274/jtgga.2017.0146
dc.identifier.urihttps://jtgga.org/articles/doi/jtgga.2017.0146
dc.identifier.urihttps://hdl.handle.net/11452/45081
dc.identifier.volume19
dc.identifier.wos000440870500008
dc.indexed.wosWOS.ESCI
dc.language.isoen
dc.publisherGalenos Yayıncılık
dc.relation.journalJournal of The Turkish-German Gynecological Association
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectIn-vitro fertilization
dc.subjectInvitro fertilization
dc.subjectPelvic abscess
dc.subjectComplications
dc.subjectAspiration
dc.subjectWomen
dc.subjectEndometriosis
dc.subjectOocyte pickup
dc.subjectObesity
dc.subjectComplication
dc.subjectIn vitro fertilization
dc.subjectObstetrics & gynecology
dc.titleDoes the presence of endometriosis cause a challenge for transvaginal oocyte retrieval? A comparison between patients with and without endometriosis
dc.typeArticle
dspace.entity.typePublication
relation.isAuthorOfPublicationb56773fd-cbbe-433c-8890-bf141bd56434
relation.isAuthorOfPublication8561b7b7-73b2-4dec-a681-9fdc21582789
relation.isAuthorOfPublication.latestForDiscoveryb56773fd-cbbe-433c-8890-bf141bd56434

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