Possibilities of organ-preserving surgical treatment of patients with diffuse adenomyosis combined with hysteromyoma
Treatment of severe forms of adenomyosis combined with hysteromyoma is one of the most difficult and disputable problems in modern gynecology. The article presents our experience in performing organ-preserving operations in patients with hysteromyoma combined with diffuse adenomyosis, as an alternative to hysterectomy. Four our own clinical cases as an example, demonstrate the effectiveness of complex treatment of patients with diffuse adenomyosis combined with hysteromyoma. During the period of 2012-2019 we performed surgical treatment of 41 patients with diffuse adenomyosis, while it was noted that in 51,2 % of cases (21) diffuse adenomyosis was combined with hysteromyoma. The example of four clinical cases demonstrated the possibility of successful treatment of this complex pathology in females of reproductive age, which allowed them not only to avoid organ-removing surgery, but also to eliminate severe symptoms of the disease, as well as to maintain the possibility of further child-bearing. Organ-preserving surgical treatment of diffuse adenomyosis and hysteromyoma according to Hisao Osada method is a possible and effective alternative to classical hysterectomy.