Prevalence of adenomyosis in women undergoing surgery for endometriosis

Abstract Objective(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...

Full description

Saved in:
Bibliographic Details
Published in:European journal of obstetrics & gynecology and reproductive biology 2014-10, Vol.181, p.289-293
Main Authors: Di Donato, Nadine, Montanari, Giulia, Benfenati, Arianna, Leonardi, Debora, Bertoldo, Valentina, Monti, Giorgia, Raimondo, Diego, Seracchioli, Renato
Format: Article
Language:English
Subjects:
Adenomyosis - diagnostic imaging
Adenomyosis - epidemiology
Adenomyosis prevalence
Adult
Age Factors
Dysmenorrhea
Dysmenorrhea - etiology
Endometriosis
Endometriosis - complications
Endometriosis - diagnostic imaging
Endometriosis - surgery
Female
Humans
Obstetrics and Gynecology
Ovarian Diseases - complications
Ovarian Diseases - diagnostic imaging
Parity
Prevalence
Retrospective Studies
Severity of Illness Index
Ultrasonography
Vaginal Diseases - complications
Vaginal Diseases - diagnostic imaging
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Objective(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.
ISSN:0301-2115
1872-7654
DOI:10.1016/j.ejogrb.2014.08.016