Update on the surgical management of adenomyosis

Pepas L, Litha Pepas, Christine Deguara, Christine S. Deguara, Deguara C, Colin Davis, Colin J. Davis, Davis C
Current opinion in obstetrics & gynecology · 2012 · vol. 24(4) , pp. 259–264 · doi:10.1097/gco.0b013e328355213a · PMID:22614675 · W2060857002
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This review updates surgical management of adenomyosis, detailing fertility-preserving adenomyomectomy and hysterectomy options based on imaging and patient fertility goals.

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Abstract

PURPOSE OF REVIEW: Adenomyosis is a benign gynaecological condition associated with menstrual symptoms and pelvic pain in premenopausal women, it has also been linked to subfertility. Improvement in ultrasound and MRI imaging has allowed accurate diagnosis of this condition prior to histological confirmation. Patients opting for surgical management need to be counselled regarding the surgical options available. This review summarizes the surgical management of adenomyosis and reviews the recent surgical developments. RECENT FINDINGS: For patients who wish to preserve their fertility, cytoreductive surgery is an option in centres with surgical expertise. Recently, modified surgical procedures to remove extensive adenomyosis known as an adenomyomectomy have been described. These operations may enhance subsequent fertility. SUMMARY: Access to accurate imaging modalities such as MRI and transvaginal ultrasound allows for adequate patient counselling preoperatively. Depending on the fertility requirements and the extent of adenomyosis, patients can be offered various surgical treatment options including laparoscopic hysterectomy or adenomyomectomy.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Endometriosis Gynecologic Surgical Procedures Hysterectomy Infertility Infertility Infertility Patient Education as Topic Adult Choice Behavior Counseling Endometriosis Endometriosis Female Gynecologic Surgical Procedures Humans Hysterectomy Magnetic Resonance Imaging Middle Aged Reproductive Behavior Young Adult

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.

References (33)

Cited by (22)

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License: CC0 · commercial use OK