Massive uterine adenomyosis: A long-term followup of its conservative surgical treatment

Alessandro Bulfoni, Giada Frontino, Daniela Alberico, Stefano Bianchi, Luigi Fedele

Research output: Contribution to journalArticlepeer-review

Abstract

Fifteen patients with massive diffuse adenomyosis underwent laparotomic uterine debulking. Retrospective analysis regarded menstrual characteristics, pelvic pain, dyspareunia and reproductive outcome. Statistical analysis was obtained using t test. P<0.05 was considered significant. Mean age was 34.6 years. Follow-up lasted a mean of 41.4 months. No intraoperative nor postoperative complications occurred. At 12 months after surgery, 13 patients (87%) reported complete resolution of menorrhagia, mean VAS for dysmenorrhea was 1.8 ± 2.48 and mean VAS for chronic pelvic pain was 1.0 ± 2.17. At 6 months after surgery all patients had normal hemoglobin levels. One patient had 2 spontaneously-conceived term pregnancies. Despite the low postoperative pregnancy rate obtained in this study, symptoms were significantly improved in terms of dysmenorrhea, menorrhagia and sideropenic anemia. The long-term follow-up shows persistence of the improvement in symptoms.

Original languageEnglish
Pages (from-to)45-49
Number of pages5
JournalItalian Journal of Gynaecology and Obstetrics
Volume30
Issue number2
DOIs
Publication statusPublished - Jun 1 2018

Keywords

  • Conservative surgery
  • Diffuse adenomyosis
  • Dysmenorrhea
  • Menorrhagia

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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