Adenomyosis

In: Minimally Invasive Gynecological Surgery · 2014 · pp. 85–91 · doi:10.1007/978-3-662-44059-9_8 · W4239174804
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Adenomyosis, a common gynecologic condition of endometrial tissue in the myometrium causing heavy bleeding and pain, can now be diagnosed and treated less invasively than with past histological confirmation and hysterectomy.

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This paper is a chapter reviewing adenomyosis, a gynecologic condition defined by endometrial glands and stroma within the myometrium, focusing on diagnostic approaches and surgical treatment options. It describes how diagnosis has historically relied on histology via invasive surgery, with hysterectomy as the gold standard, but now includes radiologic methods, hysteroscopic visualization with biopsies, and laparoscopic myometrial biopsies enabling confirmation without uterine removal. It also outlines minimally invasive and more conservative surgical therapies for symptom and disease management, with an acknowledged caveat that prior diagnostic certainty depended on histology. Relevance to endometriosis: the chapter frames adenomyosis within the broader context of gynecologic disease and cites work on adenomyosis in association with endometriosis (e.g., prevalence/impact on fertility from MRI-based evidence), though its main focus is adenomyosis diagnosis and surgical therapy.

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Abstract

Adenomyosis is a common gynecologic condition characterized by the presence of heterotopic endometrial glands and stroma in the myometrium. It usually affects women in their reproductive years with symptoms of menorrhagia and dysmenorrhea. Until recently, the diagnosis of adenomyosis was made only through histological confirmation with invasive surgery, and the gold standard treatment was a hysterectomy. However, new advancements in diagnostic modalities, including radiological techniques, hysteroscopic visualization with biopsies, and laparoscopic myometrial biopsies, have allowed for diagnostic confirmation without removal of the uterus. In addition, new minimally invasive procedures now allow for more conservative surgical treatment options. This chapter will review the surgical techniques for diagnosis and therapy for adenomyosis. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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Aust N Z J Obstet Gynaecol 37:457–461 Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2015 Springer-Verlag Berlin Heidelberg About this chapter Cite this chapter Garcia, L., Isaacson, K. (2015). Adenomyosis. In: Istre, O. (eds) Minimally Invasive Gynecological Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44059-9_8 Download citation DOI: https://doi.org/10.1007/978-3-662-44059-9_8 Published: Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-662-44058-2 Online ISBN: 978-3-662-44059-9 eBook Packages: MedicineMedicine (R0)

Keywords

- Uterine Artery Embolization - Vaginal Hysterectomy - Uterine Rupture - Radio Frequency Ablation - Endometrial Gland These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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adenomyosis

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References (41)

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