Transcervical microwave adenomyolysis along with microwave endometrial ablation as a new possible alternative to hysterectomy for the treatment of adenomyosis

Yasushi Kanaoka, Hirosumi Imoto
In: Journal of Microwave Surgery · 2012 · vol. 30(0) , pp. 61–65 · doi:10.3380/jmicrowavesurg.30.61 · W2316439563
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This study explored the simultaneous use of transcervical microwave adenomyolysis and microwave endometrial ablation to treat adenomyosis, observing improvements in menorrhagia and dysmenorrhea and shrinkage of a necrotized area.

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The study assessed feasibility of using transcervical microwave adenomyolysis (TCMAM) combined with microwave endometrial ablation (MEA) as an alternative to hysterectomy for adenomyosis. Two patients with adenomyosis who had menorrhagia and dysmenorrhea and chose MEA instead of hysterectomy underwent MEA first, followed by transcervical insertion of a 4-mm conic microwave applicator into the adenomyosis under transabdominal ultrasound guidance. Both patients had improvements in menorrhagia and dysmenorrhea, and contrast-enhanced MRI showed that a new necrotized uterine area shrank at 3 months post-procedure. The paper is centrally about adenomyosis — it specifically evaluates TCMAM combined with MEA in two adenomyosis patients.

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Abstract

Objectives: Transcervical microwave adenomyolysis (TCMAM) along with microwave endometrial ablation (MEA) could replace hysterectomy for treating adenomyosis. Thus, we performed a feasibility study in the treatment of adenomyosis by simultaneously using TCMAM and MEA. Materials and methods: Two adenomyosis patients with menorrhagia and dysmenorrhea who selected MEA as an alternative to hysterectomy were recruited to the study. After MEA was performed, a 4-mm microwave applicator with a conic end was transcervically introduced, under transabdominal ultrasound guidance, into the uterine cavity and inserted into the adenomyosis.Results: We observed improvement in menorrhagia and dysmenorrhea in the patients, a de novo necrotized area in a uterus visualized by contrast enhanced MRI shrank at 3 months after the operation.Conclusion: TCMAM along with MEA is a possible alternative to hysterectomy for treating adenomyosis.
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Objectives

Transcervical microwave adenomyolysis (TCMAM) along with microwave endometrial ablation (MEA) could replace hysterectomy for treating adenomyosis. Thus, we performed a feasibility study in the treatment of adenomyosis by simultaneously using TCMAM and MEA.

Materials and methods

Two adenomyosis patients with menorrhagia and dysmenorrhea who selected MEA as an alternative to hysterectomy were recruited to the study. After MEA was performed, a 4-mm microwave applicator with a conic end was transcervically introduced, under transabdominal ultrasound guidance, into the uterine cavity and inserted into the adenomyosis.

Results

We observed improvement in menorrhagia and dysmenorrhea in the patients, a de novo necrotized area in a uterus visualized by contrast enhanced MRI shrank at 3 months after the operation.

Conclusion

TCMAM along with MEA is a possible alternative to hysterectomy for treating adenomyosis.

Materials and methods

Two adenomyosis patients with menorrhagia and dysmenorrhea who selected MEA as an alternative to hysterectomy were recruited to the study. After MEA was performed, a 4-mm microwave applicator with a conic end was transcervically introduced, under transabdominal ultrasound guidance, into the uterine cavity and inserted into the adenomyosis.

Results

We observed improvement in menorrhagia and dysmenorrhea in the patients, a de novo necrotized area in a uterus visualized by contrast enhanced MRI shrank at 3 months after the operation.

Conclusion

TCMAM along with MEA is a possible alternative to hysterectomy for treating adenomyosis. © 2012 特定非営利活動法人 Microwave Surgery研究会

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adenomyosisdysmenorrhea

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