Trends in endometriosis among laparoscopic patients in multiple hospitals in Northern India: A 3-year review

Abstract

Objectives: • To determine the prevalence of the disease, its pattern of incidence, major clinical features in multiple hospitals in the North Indian region over the period of 3 years. • To determine the most affected age group and the grades of the disease in the region. • To evaluate the commonly affected pelvic organs and surgical management offered. Data collection: Records were collected from five different hospitals spread mainly over North Indian region that underwent laparoscopic procedures from January 2012 to December 2014. Total cases analyzed were 440 laparoscopic cases and 110 endometriosis cases. Design: Retrospective analytic study. Patients: All those patients who underwent laparoscopy of all ages referred to the above-mentioned hospitals during the period. Results: Out of the 440 laparoscopic procedure done, 110 were confirmed cases of endometriosis (25%). The mean age of the studied population was 30.6 ± 5.62 while 25 to 29 (40.0%) age bracket was the most affected. There was a yearly rise in the incidence of endometriosis with a range of 21 to 42% per 100 person-year population with a prevalence rate of 25%. The most commonly associated symptom was infertility (87.3%), followed by chronic pelvic pain (56.4%) and dysmenorrhea (34.5%). The ovary was the most affected organ (89.1%), grade II (mild) endometriosis the most common grade (35.5%), while cystectomy (30.0%) and excision of the endometriosis implants (19.1%) were the commonly performed surgical procedures. Conclusion: Study shows that endometriosis is prevalent in this region and its major symptom is infertility and chronic pelvic pain, these facts should stimulate gynecologist to promptly examine women with symptoms suggestive of endometriosis laparoscopically with a view of offering early treatment and counseling.