<![CDATA[Objective: To understand the outcome on conservative surgical
treatment of adenomyosis.
Methods: A retrospective cohort study followed for 2 years from
2010 to 2012 of women with adenomyosis were diagnosed by
transvaginal sonography and confirmed histologically. Subjects divided
into women who were treated by adenomyosis resection
(with/without Osada’s technique) and who were underwent hysterectomy.
Results: After the surgery, as many as 40 patients (81.63%) did not
feel any pain (VAS 0), and 9 patients (18.37%) still felt pain. For the
fertility outcome, we had 8 patients (20.51%) getting pregnant naturally
without any fertility intervention. Two patients (5.13%) had
successfully conceived by IVF. According to the type of surgery, from
8 natural pregnancy, 7 patients (87.50%) was underwent conventional
resection of adenomyosis and 1 patients (12.50%) underwent
Osada’s procedures. Two patients who were conceived by IVF, both
of them were underwent Osada’s resection.
Conclusion: Adenomyosis resection both conservative or Osada’s
procedures actually has a better outcome for relieving pain; therefore,
some patients can still have a child.
Keywords: adenomyosis resection, conventional resection, infertility,
Osada’s procedure]]>
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