Impact of Uterine-Sparing Surgery on Reliving Symptoms of Adenomyosis

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Obstetrics and Gynecology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

Abstract

Background: The benign endometrial invasion into the myometrium known as adenomyosis results in a diffusely enlarged uterus that, when examined under a microscope, shows non-neoplastic endometrial glands and stroma encircled by hypertrophic and hyperplastic myometrium. Aim and objectives: To assess the impact of uterine-sparing surgery on relieving symptoms of adenomyosis. Subjects and methods: The Al-Hussien University Hospital served as the site of this prospective observational study. Thirty women with symptomatic adenomyosis participated in this trial. Result: A highly statistically significant difference (p=<0.001) was observed between the three groups for menorrhagia (mL), which ranged from 29 to 269 with mean±SD=142.07±63.02 in 3 months FU, 13 to 106 with mean±SD=65.43±28.63 in 6 months FU, and 5 to 64 with mean±SD=42.47±20.33 in 9 months FU. Following 3, 6, and 9 months of follow-up with the study population, the Mansfield-Voda-Jorgensen menstrual bleeding scale (MVJ). A statistically significant difference (p=<0.001) was seen in the MVJ scale among the three groups under investigation. Conclusion: In women with severe adenomyosis, the unique technique of adenomyomectomy as a uterus-sparing operation can relieve the symptoms of dysmenorrhea and menorrhagia. Furthermore, this process seems to offer efficient long-term symptom relief

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