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 journalArticle

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

Fingerprint

Adenomyosis
Menorrhagia
Dysmenorrhea
Pelvic Pain
Dyspareunia
Pregnancy Rate
Chronic Pain
Anemia
Hemoglobins
Pregnancy
Conservative Treatment

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 journalArticle

Bulfoni, Alessandro ; Frontino, Giada ; Alberico, Daniela ; Bianchi, Stefano ; Fedele, Luigi. / Massive uterine adenomyosis : A long-term followup of its conservative surgical treatment. In: Italian Journal of Gynaecology and Obstetrics. 2018 ; Vol. 30, No. 2. pp. 45-49.
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