Fertility and Sterility
Volume 94, Issue 2 , Pages 715-719, July 2010

Conservative surgical management for diffuse uterine adenomyosis

  • Masato Nishida, M.D., Ph.D.

      Affiliations

    • Corresponding Author InformationReprint requests: Masato Nishida, M.D., Ph.D., Department of Obstetrics and Gynecology, National Hospital Organization, Kasumigaura Medical Center, 2-7-14 Shimotakatsu, Tsuchiura, Ibaraki, 300-8585, Japan (FAX: 81-29-824-0494).
    • ,
  • Katsumi Takano, M.D., Ph.D.
    • ,
  • Yuko Arai, M.D., Ph.D.
    • ,
  • Hirokazu Ozone, M.D.
    • ,
  • Ryota Ichikawa, M.D.

Department of Obstetrics and Gynecology, National Hospital Organization, Kasumigaura Medical Center, Tsuchiura, Ibaraki, Japan

Received 24 November 2008; received in revised form 7 March 2009; accepted 10 March 2009. published online 30 April 2009.

Objective

To determine the effects of new conservative surgical management for diffuse uterine adenomyosis.

Design

Retrospective clinical study.

Setting

Gynecology department in a general hospital.

Patient(s)

A total of 44 women with diffuse adenomyosis.

Intervention(s)

Conservative surgical management.

Main Outcome Measure(s)

Mean visual analog scale score of dysmenorrhea and menorrhagia after a 3-month follow-up.

Result(s)

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.

Conclusion(s)

This procedure should be considered as a therapeutic option in women with symptoms of diffuse uterine adenomyosis who wish to avoid hysterectomy.

Key Words: Uterine adenomyosis, diffuse adenomyosis, therapy, conservative surgery

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 M.N. has nothing to disclose. K.T. has nothing to disclose. Y.A. has nothing to disclose. H.O. has nothing to disclose. R.I. has nothing to disclose.

PII: S0015-0282(09)00611-6

doi:10.1016/j.fertnstert.2009.03.046

Fertility and Sterility
Volume 94, Issue 2 , Pages 715-719, July 2010

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