Conservative surgical management for diffuse uterine adenomyosis.
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.
Nishida
Masato
M
Department of Obstetrics and Gynecology, National Hospital Organization, Kasumigaura Medical Center, Tsuchiura, Ibaraki, Japan. mnishida@kasumi.hosp.go.jp
Takano
Katsumi
K
Arai
Yuko
Y
Ozone
Hirokazu
H
Ichikawa
Ryota
R
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*