Uterine-sparing surgery for adenomyosis and/or adenomyoma

Huann Cheng Horng, Ching Hui Chen, Chih Yao Chen, Kuan Hao Tsui, Wei-Min Liu, Peng Hui Wang, Wen Hsun Chang, Ben Shian Huang, Hsu Dong Sun, Ting Chang Chang, Wei Chun Chang, Ming Shyen Yen

Research output: Contribution to journalReview articlepeer-review

35 Citations (Scopus)


Adenomyosis of the uterus is defined as the presence of endometrial tissue, including glands and stroma, situated at least 2.5mm below the endometrial-myometrial junction and widely distributed within the myometrium layer of the uterus. There is no consensus on the appropriate treatment for symptomatic uterine adenomyosis in women who want to preserve their uterus, partly because adenomyosis is somewhat enigmatic in diagnosis and owing to its clinical significance. Hysterectomy, through either exploratory laparotomy or minimally invasive procedures, is a definite treatment for uterine adenomyosis, once the women have completed childbirth or do not require future fertility. However, many women with a uterine pathology still have a strong desire to preserve the uterus, for which conservative and uterine-sparing procedures are increasingly used, and with which fertility preservation or quality-of-life improvement can be achieved. Although medical management can be effective, similar to the management of uterine fibroids (myoma), its effect is often transient and rapid regrowth of adenomyosis and relapse of symptoms and signs always occur once the treatment is stopped. Therefore, other strategies should be selected. Conservative and uterine-sparing surgery might be one of the most familiar procedures of these uterine-sparing procedures. In this article, the latest knowledge and research evidence on uterine-sparing surgery for uterine adenomyosis are reviewed.

Original languageEnglish
Pages (from-to)3-7
Number of pages5
JournalTaiwanese Journal of Obstetrics and Gynecology
Issue number1
Publication statusPublished - Mar 2014


  • Adenomyoma
  • Adenomyosis
  • Uterine-sparing surgery

ASJC Scopus subject areas

  • Obstetrics and Gynaecology


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