Surgical Treatment of Adenomyosis

Abstract

This paper aims to discuss the state of the art of the conservative surgical treatment of adenomyosis. Recent fndings Medical treatment for adenomyosis is usually the frst step, but some patients do not respond. Hysterectomy using minimally invasive techniques is the gold-standard treatment for those patients that do not desire pregnancies. Although there is no defnitive evidence to support conservative surgical treatment for adenomyosis, many authors described good results in women who wish to preserve fertility. Summary Although hysterectomy is the main form of treatment, conservative options should be ofered to women who wish to maintain their fertility. Several excisional and non-excisional techniques can be indicated for selected patients with promising results, always keeping in mind the risks of uterine rupture and recurrence with these techniques.