Shigetaka Matsunaga

BACKGROUND Robot-assisted hysterectomy (RASH) for benign uterine disease has been covered by insurance in Japan since 2018. Our department introduced RASH in December 2020, and the number of procedures has increased without major complicati…

AIM: To investigate the efficacy and safety of long-term adjusted low-dose gonadotropin-releasing hormone agonist therapy (GnRH agonist drawback therapy) with nafarelin acetate in patients with uterine fibroids and/or adenomyosis with menst…

Endometrial stromal sarcoma, a rare disease, accounts for approximately 0.2％ of all types of uterine malignancies. The disease may be difficult to differentiate from the benign one using preoperative imaging and histological diagnosis. We r…

OBJECTIVE: Incarcerated gravid uterus is a condition in which uterine myoma and intraperitoneal adhesion lead to persistent uterine retroversion. Accurate diagnosis before cesarean section is crucial so that the procedure can be planned wit…

OBJECTIVES: Pregnancy complicated with ovarian endometrioma is a risk factor for preterm delivery and rupture or infection during pregnancy. This study aimed to clarify the effectiveness and safety of transvaginal aspiration during pregnanc…

Introduction: A unicornuate uterus with a noncommunicating rudimentary horn is a rare congenital uterine malformation that causes lower abdominal pain and dysmenorrhea due to endometriosis and uterine hematoma. We encountered a case of a un…

We report two cases of placenta accreta identified during pregnancy after laparoscopic surgery. The first case involved a 39-year-old woman with a history of miscarriage. Ultrasonography and MRI revealed multiple uterine myomas and adenomyo…