Uterus sparing surgery in adenomyosis and its impact on reproductive outcomes

Authors: K. Hlinecká 1 ;  Z. Lisá 1 ;  B. Boudová 1,2 ;  A. Richtárová 1 ;  M. Mára 1 ;  D. Kužel 1 ;  M. Fanta 1
Authors place of work: Gynekologicko-porodnická klinika 1. LF UK a VFN v Praze 1;  Gynekologicko-porodnické oddělení, Oblastní nemocnice Trutnov a. s. 2
Published in the journal: Ceska Gynekol 2022; 87(4): 282-288
Category: Přehledový článek
doi: https://doi.org/10.48095/cccg2022282


Objective: The purpose of this study was to evaluate the appropriate surgical treatment of adenomyosis and its impact on reproductive outcomes. Conclusion: Patients with adenomyosis and fibroids may show a lower pregnancy rate and higher miscarriage rate than healthy individuals. However, there is no standard protocol for their optimal treatment, particularly in pregnancy-seeking or infertile women. Myomectomy is generally a commonly performed procedure that preserves fertility. On the other hand, the role of surgery in extensive uterine adenomyosis remains controversial, because adenomyosis often involves the whole uterus diffusely. It is almost impossible to remove all pathological tissue from the surrounding myometrium. Therefore, this procedure is called debulking/cytoreductive surgery. However, adenomyomectomy has also become a more common type of surgical intervention in recent years.


adenomyomectomy – cytoreductive procedure – myoma


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Dětská gynekologie Gynekologie a porodnictví Reprodukční medicína

Článek vyšel v časopise

Česká gynekologie

Číslo 4

2022 Číslo 4

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