[Adenomyosis at hysterectomy].
BACKGROUND
adenomyosis is a frequent gynecologic pathology which affects women particularly in the fifth decade. It is responsible of abnormal uterine bleeding and pelvic pain. The diagnosis can be difficult especially when it's associated to other gynaecologic pathologies. Contribution of transvaginal sonography and magnetic resonance imaging made preoperative diagnosis possible. THE AIM of this study is to report frequency, epidemiologic profile, clinical signs and diagnostic and therapeutic methods of adenomyosis.


METHODS
this is a retrospective study about 52 cases of adenomyosis diagnosed upon 336 hysterectomies for benign pathologies. Descriptive analysis of epidemiologic, clinical, diagnosis and therapeutic data was performed.


RESULTS
prevalence of adenomyosis was 15% and multiparity observed for 90% of women was the main risk factor.


CONCLUSIONS
women desirous of pregnancy and affected by adenomyosis can benefit from conservative treatment, but hysterectomy remains the reference treatment.
Service de Gynécologie Obstétrique B. Hôpital Charles Nicolle, Tunis.
Sonia
S
Ben Hamouda
Nadia
N
Ouerdiane
Héla
H
Ben Zina
Abdelwaheb
A
Masmoudi
Ines
I
Ennine
Badreddine
B
Bouguerra
Rachida
R
Sfar
D000328:Adult; D004715:Endometriosis / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D012189:Retrospective Studies; D014591:Uterine Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*