Adenomyosis in patients undergoing hysterectomy for leiomyomas: A retrospective study

Abstract

Aim: To identify the prevalence of Adenomyosis in patents who underwent hysterectomy for fibroid uterus, and to correlate patient profile, clinical finding and reproductive characteristics.Methodology: This is a retrospective study conducted at ESIC Medical College and PGIMSR, Rajajinagar Bangalore. Women who underwent abdominal or vaginal hysterectomy for proven uterine leiomyomas on ultrasonography with or without oophorectomy in a 3 year period from 2013 to 2016 were included in the study. Retrospectively data was collected from medical records regarding age, parity, presenting symptoms, histopathological report of hysterectomy specimen for evidence of concurrent adenomyosis. Statistical analysis of data was carried out using SPSS statistical software. Quantative data were analysed with mean, median and standard deviation. Qualitative data (categorical) were analysed with percentages and frequencies.Results: We had 180 patients who underwent hysterectomy with or without oophorectomy for fibroid uterus in our study period. Out of which 108(60%) patients were found to have adenomyosis. Adenomyosis was more commonly seen in patients with older age group than with patients with fibroid alone. The patients with concurrent adenomyosis significantly presented with dysmenorrhoea (P-0.001) and pelvic pain (P-