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Prevalence of adenomyosis in women undergoing surgery for endometriosis.

Eur J Obstet Gynecol Reprod Biol. 2014 Oct;181:289-93. doi: 10.1016/j.ejogrb.2014.08.016. Epub 2014 Aug 15.

Di Donato N1, Montanari G2, Benfenati A2, Leonardi D2, Bertoldo V2, Monti G2, Raimondo D2, Seracchioli R2.
Author information 1Minimally Invasive Gynaecological Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Via Massarenti, 13, 40138, Bologna, Italy. Electronic address: nadine.didonato@gmail.com.2Minimally Invasive Gynaecological Surgery Unit
Eur J Obstet Gynecol Reprod Biol
ABSTRACT
AbstractOBJECTIVE(S): To evaluate the prevalence of adenomyosis in patients undergoing surgery for endometriosis.STUDY DESIGN: Retrospective study including 1618 women with preoperative clinical and ultrasound diagnosis of endometriosis. As preoperative assessment, all patients underwent ultrasound to assess endometriosis and all features associated with adenomyosis (heterogeneous myometrial echotexture, globular-appearing uterus, asymmetrical thickness of anteroposterior wall of the myometrium, subendometrial myometrial cysts, subendometrial echogenic linear striations or poor definition of the endometrial-myometrial junction).RESULTS: Adenomyosis was present in 353/1618 (21.8%) women included in the study. Multivariate analysis showed that the prevalence of adenomyosis was significantly associated with deep infiltrating endometriosis, parity, dysmenorrhea intensity and women’s age (P<0.0001).CONCLUSION(S): Adenomyosis is a common condition but its aetiology and natural history are still unknown. Our experience showed a 21.8% of prevalence of adenomyosis in patients affected by endometriosis and its association with parous women, increasing age, dysmenorrhea intensity and with the presence of deep infiltrating endometriosis.Copyright © 2014. Published by Elsevier Ireland Ltd.
Full Text Source: Elsevier Science
PMID:25201608 | http://www.ncbi.nlm.nih.gov/pubmed/25201608

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