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 language | English |
|---|---|
| Pages (from-to) | 45-49 |
| Number of pages | 5 |
| Journal | Italian Journal of Gynaecology and Obstetrics |
| Volume | 30 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Jun 1 2018 |
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Keywords
- Conservative surgery
- Diffuse adenomyosis
- Dysmenorrhea
- Menorrhagia
ASJC Scopus subject areas
- Obstetrics and Gynaecology
Cite this
Massive uterine adenomyosis : A long-term followup of its conservative surgical treatment. / Bulfoni, Alessandro; Frontino, Giada; Alberico, Daniela; Bianchi, Stefano; Fedele, Luigi.
In: Italian Journal of Gynaecology and Obstetrics, Vol. 30, No. 2, 01.06.2018, p. 45-49.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Massive uterine adenomyosis
T2 - A long-term followup of its conservative surgical treatment
AU - Bulfoni, Alessandro
AU - Frontino, Giada
AU - Alberico, Daniela
AU - Bianchi, Stefano
AU - Fedele, Luigi
PY - 2018/6/1
Y1 - 2018/6/1
N2 - 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.
AB - 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.
KW - Conservative surgery
KW - Diffuse adenomyosis
KW - Dysmenorrhea
KW - Menorrhagia
UR - http://www.scopus.com/inward/record.url?scp=85049421198&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85049421198&partnerID=8YFLogxK
U2 - 10.14660/2385-0868-89
DO - 10.14660/2385-0868-89
M3 - Article
AN - SCOPUS:85049421198
VL - 30
SP - 45
EP - 49
JO - Italian Journal of Gynaecology and Obstetrics
JF - Italian Journal of Gynaecology and Obstetrics
SN - 1121-8339
IS - 2
ER -