title: Conservative surgical management for diffuse uterine adenomyosis.
abstract: OBJECTIVE
  To determine the effects of new conservative surgical management for diffuse uterine adenomyosis.
  
  
  METHODS
  Retrospective clinical study.
  
  
  METHODS
  Gynecology department in a general hospital.
  
  
  METHODS
  A total of 44 women with diffuse adenomyosis.
  
  
  METHODS
  Conservative surgical management.
  
  
  METHODS
  Mean visual analog scale score of dysmenorrhea and menorrhagia after a 3-month follow-up.
  
  
  RESULTS
  After this surgery, the mean visual analog scale score of dysmenorrhea decreased from 9.4 to 0.8, and anemia due to menorrhagia improved in all women. Two patients became pregnant, with one interstitial pregnancy and one normal pregnancy that is continuing. No major complications or sequelae were observed.
  
  
  CONCLUSIONS
  This procedure should be considered as a therapeutic option in women with symptoms of diffuse uterine adenomyosis who wish to avoid hysterectomy.
authors.affiliation: Department of Obstetrics and Gynecology, National Hospital Organization, Kasumigaura Medical Center, Tsuchiura, Ibaraki, Japan. mnishida@kasumi.hosp.go.jp
authors.forename: Masato
authors.initials: M
authors.lastname: Nishida
authors.forename: Katsumi
authors.initials: K
authors.lastname: Takano
authors.forename: Yuko
authors.initials: Y
authors.lastname: Arai
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Ozone
authors.forename: Ryota
authors.initials: R
authors.lastname: Ichikawa
mesh_terms: D000328:Adult; D004412:Dysmenorrhea / Q000473:pathology / Q000517:prevention & control; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007247:Infertility, Female / Q000517:prevention & control; D008279:Magnetic Resonance Imaging; D008595:Menorrhagia / Q000473:pathology / Q000517:prevention & control; D008875:Middle Aged; D011183:Postoperative Complications / Q000473:pathology / Q000517:prevention & control*; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies; D014599:Uterus / Q000601:surgery*