Comparison of complications of vaginal hysterectomy in patients with leiomyomas and in patients with adenomyosis

Madoka Furuhashi, M Furuhashi, Y Miyabe, Yuki Miyabe, Y Katsumata, Hiroyuki Oda, H Oda, N Imai
Archives of gynecology and obstetrics · 1998 · vol. 262(1-2) , pp. 69–73 · doi:10.1007/s004040050230 · PMID:9836003 · W2093951506
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Vaginal hysterectomies in patients with leiomyomas or adenomyosis showed similar operative times and blood loss, but adenomyosis increased the risk of bladder injury.

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The paper reviewed 1,246 vaginal hysterectomies performed at Handa City Hospital from 1984–1996, comparing 893 patients with leiomyomas to 353 patients with adenomyosis. Operative time and estimated blood loss did not differ between groups when analyzed by uterine weight, indicating similar surgical burden across the conditions. The key finding was that adenomyosis was associated with an increased risk of bladder injury, representing a complication difference between the groups. This paper is centrally about adenomyosis — specifically, it compares complication rates (notably bladder injury) of vaginal hysterectomy in patients with adenomyosis versus leiomyomas.

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Abstract. We reviewed 1246 vaginal hysterectomies performed at Handa City Hospital between January 1984 and December 1996. We divided the patients into 2 groups: those with leiomyomas (n=893) and those with adenomyosis (n=353). There was no difference in operative time and estimated blood loss between the 2 groups when analyzed by uterine weight. However, adenomyosis was associated with an increased risk of bladder injury. Similar content being viewed by others Author information Authors and Affiliations Additional information Accepted: 7 April 1998 Rights and permissions About this article Cite this article Furuhashi, M., Miyabe, Y., Katsumata, Y. et al. Comparison of complications of vaginal hysterectomy in patients with leiomyomas and in patients with adenomyosis. Arch Gynecol Obstet 262, 69–73 (1998). https://doi.org/10.1007/s004040050230 Issue date: DOI: https://doi.org/10.1007/s004040050230

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Condition tags

mesh:D004715adenomyosis

MeSH descriptors

Endometriosis Hysterectomy Leiomyoma Uterine Neoplasms Adult Blood Loss, Surgical Endometriosis Female Humans Hysterectomy Intestines Intestines Leiomyoma Middle Aged Time Factors Urinary Bladder Urinary Bladder Uterine Neoplasms

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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