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[Combined treatment of retrocervical, cervical and vaginal endometriosis using CO2 laser, cryosurgery and electrocoagulation].

Clinical data and results of combined treatment have been analyzed in 163 patients with common types of endometriosis: retrocervical in 116, cervical in 43 and vaginal in 5 patients. Growth of retrocervical endometriosis into the vaginal wall with cyst formation was seen in 21 patients. Conventional surgical procedures were adjuncted by physical treatments of endometriosis foci or beds in 116 of 163 patients: electrocoagulation (n = 44), cryodestruction (n = 43), focal vaporization with a CO2 laser (n = 29). Only surgical methods with subsequent hormonal therapy were used in 47 patients who made a control group. The results showed that the additional cryo-, electro- and laser surgery considerably reduced the incidence of complaints and relapses. CO2 laser treatment had a significantly higher efficacy.