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The Prevelance of Adenomyosis at Hysterectomy and Associated Factors
Mehmet Baki Şentürk1, Mehmet Şükrü Budak2, Yusuf Çakmak3, Ömer Birol Durukan4, Mesut Polat41Bakirkoy Dr. Sadi Guest Education and Research Hospital, Obstetrics and Gynecology Istanbul, Turkey2Diyarbakır Maternity Hospital, Obstetrics and Gynecology, Istanbul, Turkey
3Batman State Hospital, Batman, Turkey
4Zeynep Kamil Women and Child Hospital. Edu. and Res. Hosp., Gynecology and Obstetrics, Istanbul, Turkey
INTRODUCTION: Adenomyosis is a entity characterized by the presence of endometrial glands and stroma embedded within the myometrium without apparent contact with the endo-myometrial junction. As the diagnosis of adenomyosis is based on histological examination, the condition is best described in women at the time of hysterectomy.
METHODS: We evaluated results of 109 hysterectomized patients retrospectively. Age, parity, menopausal status and indication of hysterectomy
were compared between adenomyosis positive and negative patients according to histological findings. P value under 0.05 was considered statistically significant.
RESULTS: The mean of age patients with adenomyosis were 55. Parity and abnormal uterine bleeding were associated factors with adenomyosis (p<0.05).
DISCUSSION AND CONCLUSION: Our study demonstrated that the prevalence of adenomyosis at hysterectomy was 29.4%. Adenomyosis is more frequent among women reporting abnormal uterine bleeding and with high parity
Manuscript Language: English
