Patient’s fertility desire should be taken into consideration in the surgical treatment algorithm of infiltrating endometriosis

To the Editor:

We read with great interest the manuscript by Fanfani et al., which reports their experience with laparoscopic treatment of bowel-infiltrating endometriosis (1). The authors analyzed their patients in regards to operative long-term complications, pain relief and recurrence rate, and suggest a surgical management algorithm. However, women with bowel endometriosis, besides having gastrointestinal symptoms and pain, frequently suffer from infertility.

Re: Laproscopic metroplasty in bicornuate and didelphic uteri

To the Editor:

Alborzi et al. (1) described the technique of laparoscopic metroplasty for didelphic uteri and bicornuate uteri. The indication for the metroplasty is history of recurrent spontaneous abortions in less than 5 months of pregnancy. Three months after metroplasty, they did laparoscopic and hysterscopic examination. The laproscopic examination of the pelvic cavity revealed filmy adhesions of the uterus to the omentum; the hysteroscopy revealed spacious uniform cavity. They also found a sub-septum at the fundus of the unified uteri.

The outcomes of pregnancy following laparoscopic cornuotomy for interstitial pregnancy

To the Editor:

I have read the recent article in press by Eun et al (1) with great interest. The authors described their clinical experiences in laparoscopic cornuotomy in interstitial pregnancy using a temporary tourniquet suture and diluted vasopressin injection.

Is there any difference among the most frequently used laparoscopic ovarian drilling techniques?

To the Editor:

I read with interest the article by Hendriks et al. (1) and I would like to express certain considerations. Since polycystic ovary syndrome (PCOS) ovaries in humans have different endocrinologic and morphologic properties, the normal bovine ovary model for the evaluation of the amount of damage at different energy modalities seems inadequate. The PCOS ovaries in human are mostly bigger (volume difference), contain several subcortical antral follicles (morphologic difference), are usually anovulatory (functional difference) and secrete more androgen than the non-PCOS counterparts (endocrinologic difference).