Conservative surgical treatment for adenomyosis: New options for looking beyond uterus removal

Tommaso Capezzuoli, Federico Toscano, Marcello Ceccaroni, Giovanni Roviglione, Anna Stepniewska, Massimiliano Fambrini, Silvia Vannuccini, Felice Petraglia
Best practice & research. Clinical obstetrics & gynaecology · 2024 · vol. 95 , pp. 102507 · doi:10.1016/j.bpobgyn.2024.102507 · PMID:38906739 · W4399243394
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This paper reviews conservative surgical treatments for adenomyosis, highlighting their effectiveness in symptom management and uterine volume reduction while acknowledging associated risks and the need for experienced surgical teams.

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Abstract

Adenomyosis is a common benign uterine disorders and patients may present dysmenorrhea, dyspareunia, abnormal uterine bleeding (AUB) and infertility. The treatment is very complex, including medical, surgical or radiological approaches. Hormonal drugs represent the first line therapy of adenomyosis, highly effective on symptoms and uterine volume reduction. Radiological procedures (UAE and HIFU), RFA and hysteroscopy may be proposed in those cases in which medical therapy is ineffective. Considering surgical treatment, hysterectomy remains the only existing definitive treatment but in the last decades the desire of uterus preservation is becoming more and more diffuse. On the other hand, surgical conservative treatments of adenomyosis are very effective in ameliorating AUB and pelvic pain and in reducing uterine volume, with some post-operative risks and obstetrics complications. Cytoreductive surgery for adenomyosis may be very complex, therefore it should be performed by experienced surgeons in dedicated centers, above all in case of concomitant endometriosis.

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Condition tags

endometriosisadenomyosisdysmenorrheadyspareuniainfertility

MeSH descriptors

Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Conservative Treatment Conservative Treatment Conservative Treatment Conservative Treatment Conservative Treatment Conservative Treatment Conservative Treatment

Citation neighborhood

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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Cited by (5)

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