Hysteroscopic excision of symptomatic myometrial adenomyosis: feasibility and effectiveness

Abstract

Objective: To explore the feasibility and efficacy of hysteroscopic excision of myometrial adenomyotic lesions. Design: A case-series study. Setting: A university medical centre. Population: 51 women with myometrial adenomyosis completed the study. Methods: The patients underwent hysteroscopic excision of myometrial adenomyosis and were followed up for 24 months. The degree of symptoms, uterine volume, and serum CA125 concentrations were recorded. The degrees of menorrhagia and dysmenorrhea were evaluated. Results: The mean MVJ and VAS score significantly decreased from the baseline. The uterine volume and the serum CA125 significantly reduced. Conclusions: Hysteroscopic excision of myometrial adenomyotic lesions is feasible and may be effective in improving symptoms. Tweetable abstract: Hysteroscopic excision is feasible for patients with symptomatic adenomyosisis.