The Outcome on Conservative Surgical Treatment of Adenomyosis

Budi Wiweko, Ario Legiantuko, Achmad Kemal, Gita Pratama, Herbert Situmorang, Herbert Sıtumorang, Kanadi Sumapraja, Raden Muharam, Muharam Natadisastra, Andon Hestiantoro
In: Indonesian Journal of Obstetrics and Gynecology · 2017 · pp. 198 · doi:10.32771/inajog.v4i4.448 · W2896445102
article OA: gold CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study found that adenomyosis resection, including conventional and Osada's techniques, effectively relieved pain and allowed some patients to achieve pregnancy.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This retrospective cohort study evaluated 2-year outcomes (2010–2012) in women diagnosed with adenomyosis by transvaginal sonography and confirmed histologically, comparing pain relief and fertility outcomes after adenomyosis resection (conventional and with Osada’s technique) versus hysterectomy. After surgery, 81.63% of 40 patients reported no pain on VAS (0), while 18.37% still reported pain. For fertility, 20.51% conceived naturally without fertility intervention, and 5.13% conceived via IVF, with natural conceptions mostly after conventional resection and IVF conceptions both occurring after Osada’s procedures. The paper focuses on adenomyosis conservative surgery outcomes and does not address endometriosis, so it is relevant to adenomyosis but not endometriosis.

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Abstract

Objective: To understand the outcome on conservative surgical treatment of adenomyosis. Methods: A retrospective cohort study followed for 2 years from 2010 to 2012 of women with adenomyosis were diagnosed by transvaginal sonography and confirmed histologically. Subjects divided into women who were treated by adenomyosis resection (with/without Osada’s technique) and who were underwent hysterectomy. Results: After the surgery, as many as 40 patients (81.63%) did not feel any pain (VAS 0), and 9 patients (18.37%) still felt pain. For the fertility outcome, we had 8 patients (20.51%) getting pregnant naturally without any fertility intervention. Two patients (5.13%) had successfully conceived by IVF. According to the type of surgery, from 8 natural pregnancy, 7 patients (87.50%) was underwent conventional resection of adenomyosis and 1 patients (12.50%) underwent Osada’s procedures. Two patients who were conceived by IVF, both of them were underwent Osada’s resection. Conclusion: Adenomyosis resection both conservative or Osada’s procedures actually has a better outcome for relieving pain; therefore, some patients can still have a child. Keywords: adenomyosis resection, conventional resection, infertility, Osada’s procedure

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Outcome instruments

VAS-pain

Condition tags

adenomyosisinfertility

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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