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Papers of the Week


Papers: 22 Apr 2023 - 28 Apr 2023

RESEARCH TYPE:
Commentary/Perspective

PAIN TYPE:
Abdominal/Pelvic Pain, Inflammation/Inflammatory


2023 Apr 26


Int J Gynaecol Obstet


37101408

Time to move beyond surgical classification systems for endometriosis.

Authors

Hernández Cardona MI, Ajewole C, Lewis H, Carrillo JF, Castellanos ME, Barish S, Echeverri JDV, Lamvu G

Abstract

Endometriosis is a common condition associated with chronic pelvic pain and infertility. Its pathogenesis is poorly understood, diagnosis relies on laparoscopy, and staging is based on extent of disease. Unfortunately, the current staging systems do not correlate well with pain severity and impact, nor do they predict prognosis, i.e., treatment success and recurrence of disease. In this article, we discuss the strengths and limitations of current staging systems and propose modifications that will enable better classification systems to be developed in the future.