Local excision of uterine adenomyomas: a report of 86 cases with follow-up analyses.

Abstract

OBJECTIVE:

To assess the outcomes of patients who underwent local excision of adenomyoma and to evaluate the effectiveness of the procedure.

STUDY DESIGN:

Prospective study of 86 women undergoing local excision of symptomatic uterine adenomyoma at laparotomy. Dysmenorrhea was assessed before and after operation by questionnaire, and the average duration of follow-up was 24 months.

RESULT(S):

At 6-month follow-up, all 86 patients' dysmenorrhea grades were reduced by more than 80%. With a mean follow-up of 24 (range 6-60) months, a total of 2 (2.3%) patients finally underwent hysterectomy, 1 (1.2%) received levonorgestrel-releasing intrauterine device therapy, and three patients (11.3%) were subsequently given treatment with oral pain medication alone. The mean time interval between local excision and subsequent treatment was 34 months. Two (2.3%) patients became pregnant after the local excision: one (1.2%) at 2 months after the procedure and one (1.2%) at 3 years after the local excision procedure.

CONCLUSION(S):

Local excision of uterine adenomyoma remains a safe and effective minimally invasive treatment for women with symptomatic uterine adenomyoma. Local excision can effectively alleviate the dysmenorrhea of adenomyoma.

• Authors: Zhiyuan Dai, Xiao Feng, Liying Gao, Min Huang
• Journal: European journal of obstetrics, gynecology, and reproductive biology (Eur J Obstet Gynecol Reprod Biol) Vol. 161 Issue 1 Pg. 84-7 (Mar 2012) ISSN: 1872-7654 [Electronic] Ireland
• PMID: 22153904 (Publication Type: Journal Article)
• Copyright: Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Topics

• Adenomyoma (surgery)
• Adult
• Dysmenorrhea (surgery, therapy)
• Female
• Follow-Up Studies
• Humans
• Laparotomy
• Middle Aged
• Prospective Studies
• Treatment Outcome
• Uterine Neoplasms (surgery)