TOTAL HYSTERECTOMY FOR PELVIC PAIN ASSOCIATED WITH ADENOMYOSIS

Hồng Hoa Nguyễn, Thị Ngọc Anh Trần

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Abstract

Objective: To observe the effects of total hysterectomy in treatment of chronic pelvic pain associated with adenomyosis. Methods: A prospective continuing study including 52 patients with chronic pelvic pain associated with adenomyosis who received hysterectomy caused of serious status. The visual analog scale (VAS) was used for pain assessment before and 1and 3 months after surgery.   Results: Before hysterectomy, the median pain score in our study was 7, the lowest was 6 and the highest was 9. After 1 month and 3 months hysterectomy, the median score was 2 (2-3) and 1 (1-2), respectively. So, the ratio of severe pelvic pain decreased significantly compared to the time before operating hysterectomy in our study. Conclusion: Hysterectomy is still a radical method for pelvic pain associated with adenomyosis, although the pain only decreases clearly after 3 months operation

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References

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