Conservative surgical management for diffuse uterine adenomyosis

Masato Nishida, Nishida M, Takano K, Katsumi Takano, Yuko Arai, Arai Y, Ozone H, Hirokazu Ozone, Ryota Ichikawa, Ichikawa R
Fertility and sterility · 2009 · vol. 94(2) , pp. 715–719 · doi:10.1016/j.fertnstert.2009.03.046 · PMID:19406396 · W2032467986
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This study investigated conservative surgical approaches for diffuse uterine adenomyosis, evaluating their efficacy and outcomes.

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Abstract

OBJECTIVE: To determine the effects of new conservative surgical management for diffuse uterine adenomyosis. DESIGN: Retrospective clinical study. SETTING: Gynecology department in a general hospital. PATIENT(S): A total of 44 women with diffuse adenomyosis. INTERVENTION(S): Conservative surgical management. MAIN OUTCOME MEASURE(S): Mean visual analog scale score of dysmenorrhea and menorrhagia after a 3-month follow-up. RESULT(S): After this surgery, the mean visual analog scale score of dysmenorrhea decreased from 9.4 to 0.8, and anemia due to menorrhagia improved in all women. Two patients became pregnant, with one interstitial pregnancy and one normal pregnancy that is continuing. No major complications or sequelae were observed. CONCLUSION(S): This procedure should be considered as a therapeutic option in women with symptoms of diffuse uterine adenomyosis who wish to avoid hysterectomy.

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Condition tags

dysmenorrheaendometriosisadenomyosis

MeSH descriptors

Endometriosis Gynecologic Surgical Procedures Postoperative Complications Uterus Adult Adult Dysmenorrhea Dysmenorrhea Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Endometriosis Female Female Follow-Up Studies Follow-Up Studies Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (12)

Cited by (50)

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