Adenomyosis Surgery

Surgical Treatment in Adenomyosis – Comprehensive Guide

What is Surgery in Adenomyosis?

Surgery in the treatment of adenomyosis is an option applied to patients who do not respond to medical treatment or have severe symptoms. The aim is to reduce pain and improve quality of life.

In Which Patients is Surgery Considered?

Surgical options are evaluated in cases of severe menstrual pain, heavy bleeding, chronic pelvic pain, infertility, and unresponsiveness to medical treatment.

Surgical Options

Surgical treatment in adenomyosis is divided into two main groups: uterus-preserving surgeries and hysterectomy, which is the definitive treatment.

Uterus-Preserving Surgery

In patients planning pregnancy, the removal of adenomyotic tissue (adenomyomectomy) can be performed. This procedure is technically difficult and requires experience.

Adenomyomectomy

It is the procedure of removing adenomyotic foci within the myometrium. It can reduce symptoms and support fertility in some patients.

Hysterectomy

It is the complete removal of the uterus and is the definitive treatment for adenomyosis. It is generally preferred in patients who do not desire children.

Minimally Invasive Surgery

The procedure can be performed in a less invasive manner with laparoscopic or robotic surgical methods. It provides faster recovery.

Risks of Surgery

Risks include bleeding, infection, adhesion formation, and rarely, organ injury.

Effect on Fertility

Uterus-preserving surgeries aim to preserve fertility, but success is not always guaranteed.

Post-Surgical Follow-up

Post-surgical hormonal treatment can provide symptom control and reduce the risk of recurrence.

Conclusion

Surgical treatment in adenomyosis should be planned on a patient-by-patient basis. Successful outcomes can be achieved with proper patient selection and an experienced surgeon.