Usefulness of hysteroscopic endometrial ablation for adenomyosis

Rie Yoshida, Junko Takada, Keiko Hatano, Chie Usui
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2019 · vol. 35(2) , pp. 399–403 · doi:10.5180/jsgoe.35.2_399 · W3000657759
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This study evaluated the usefulness of hysteroscopic endometrial ablation for treating adenomyosis in patients presenting with hypermenorrhea.

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This retrospective study evaluated the efficacy of hysteroscopic endometrial ablation in treating adenomyosis associated with hypermenorrhea among 14 women at a Japanese hospital between 2011 and 2017. The surgical technique involved resecting the endometrium and approximately five millimeters of the underlying myometrium to address excessive bleeding. Results indicated that all patients experienced reduced menstrual bleeding, with four achieving amenorrhea and ten maintaining normal menstruation, while no major complications or recurrences were reported during the follow-up period. This paper is centrally about adenomyosis — specifically assessing hysteroscopic endometrial ablation as a uterus-sparing treatment option for symptomatic management.

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Abstract

Objective: The aim of this study was to evaluate the usefulness of hysteroscopic endometrial ablation for adenomyosis with hypermenorrhea.
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手術手技 子宮腺筋症に対する子宮鏡下子宮内膜削除術の有用性の検討 2019 年 35 巻 2 号 p. 399-403 詳細 抄録 Objective: The aim of this study was to evaluate the usefulness of hysteroscopic endometrial ablation for adenomyosis with hypermenorrhea. Design: Retrospective analysis Setting: Tokyo Metropolitan Health and Hospitals Corporation, Ohkubo Hospital, Japan Method(s): From January 2011 to December 2017, 14 women with hypermenorrhea underwent hysteroscopic endometrial ablation for adenomyosis. Surgical outcomes and complications were evaluated. In our method, the endometrium and a part of the myometrium lining the uterus (approximately 5 mm in depth) were resected. Result(s): All patients had decreased bleeding. Four patients had amenorrhea (28.6%) and 10 patients had menorrhea (71.4%). The recurrence of hypermenorrhea and major complications were not reported. Three patients with dysmenorrhea needed additional treatments but were relieved by hormonal therapy and were able to avoid hysterectomy. Conclusion(s): Hysteroscopic endometrial ablation for adenomyosis is an effective and safe procedure that can reduce the hysterectomy rate. © 2019 日本産科婦人科内視鏡学会

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adenomyosis

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