TY - JOUR AU - Abdel-Fattah, Hosam AU - El-Lakkany, Nasser AU - Helal, Adel Saad AU - Mosbah, Alaa AU - Abdel-Hady, El-Said AU - Abdel-Shaheed, Mahmoud PY - 2015 DA - 2015/08/01 TI - Conservative laparoscopic electrocoagulation adenomyolysis for the management of symptomatic adenomyosis JO - Gynecological Surgery SP - 139 EP - 147 VL - 12 IS - 3 AB - The objective of the study was to assess the safety and efficacy of conservative laparoscopic electrocoagulation adenomyolysis (CLEA) in the management of women with symptomatic adenomyosis. The study design is prospective observational study. The setting was Department of Obstetrics and Gynecology, Mansoura University Hospital. Thirty-nine premenopausal women, complaining of chronic pelvic pain and/or menorrhagia, were diagnosed to have adenomyosis by transvaginal ultrasonography (TVS) and/or magnetic resonance imaging (MRI), between June 2008 and June 2011. They were subjected to laparoscopic multiple uterine unipolar electrocoagulation diathermy punctures aiming at adenomyolysis. Women were evaluated before and at 3, 6, and 12 months after the procedure. Main outcome is the magnitude of pain by using the visual analog scale (VAS) and the overall patient self satisfaction as assessed by short form 36 (SF-36) questionnaires; secondary outcome is the uterine volume as measured by TVS. At 3-, 6-, and 12-month follow-up visits, there was a gradual, yet a significant, reduction in the median VAS scoring system of pain (p < 0.01), a significant improvement in every scale of the SF-36 (p < 0.01), and also a significant reduction (p < 0.01) in the median uterine volume as assessed by TVS. Conservative laparoscopic electrocoagulation adenomyolysis may be an effective and safer minimal invasive procedure for the management of symptomatic adenomyosis in premenopausal women. SN - 1613-2084 UR - https://doi.org/10.1007/s10397-015-0890-8 DO - 10.1007/s10397-015-0890-8 ID - Abdel-Fattah2015 ER -