{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,6]],"date-time":"2024-07-06T00:09:24Z","timestamp":1720224564261},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T00:00:00Z","timestamp":1699920000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To enhance evidence\u2010based knowledge on long\u2010term sequalae in patients with surgically corrected obstructing M\u00fcllerian anomalies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This long\u2010term case\u2013control study included patients with menstrual outflow obstruction due to congenital anomalies of the uterus or vagina, who were at least 18\u2009years old, and for whom 2\u2009years had elapsed since the first surgery at the start of this study. The control group consisted of women without current gynecological problems. Patients underwent a surgical correction at the Radboud University Medical Center Nijmegen between 1980 and 2013. Of 78 patients approached, 38 (49%) were included in this study. The control group consisted of 54 females. The main outcome measures were pain and health state. The following questionnaires were used: Visual Analogue Scale pain scores, European Quality of Life\u20135 Dimensions questionnaire (EQ\u20105D\u20103L) and the adapted Endometriosis Health Profile questionnaire (EHP\u201030).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients had higher actual and maximum abdominal pain scores compared with controls (11 vs 0 [<jats:italic>P<\/jats:italic>\u2009=\u20090.007] and 48 vs 21 [<jats:italic>P<\/jats:italic>\u2009=\u20090.035], respectively). Based on the EQ\u20105D\u20103L scores, patients had more pain and discomfort (<jats:italic>P<\/jats:italic>\u2009=\u20090.005), more mood problems (<jats:italic>P<\/jats:italic>\u2009=\u20090.023), and a poorer subjective health state (<jats:italic>P<\/jats:italic>\u2009=\u20090.002) and self\u2010rated health state (<jats:italic>P<\/jats:italic>\u2009=\u20090.031). Based on the EHP\u201030, patients had a significant poorer self\u2010rated health state on four out of five subscales.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this study, following surgically corrected menstrual obstruction, patients had statistically significant higher abdominal pain scores and a poorer self\u2010rated health state compared with controls.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.15237","type":"journal-article","created":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T13:53:31Z","timestamp":1699970011000},"page":"117-124","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010term effects of surgically corrected menstrual outflow obstruction: A case\u2013control study"],"prefix":"10.1002","volume":"165","author":[{"given":"Lisanne","family":"Martens","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Radboud University Medical Center, Radboud Institute for Health Sciences  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marian A.","family":"Spath","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Radboud University Medical Center, Radboud Institute for Health Sciences  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monique A.","family":"van Beek","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Radboud University Medical Center, Radboud Institute for Health Sciences  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wim N. 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