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Objectives: Transcervical microwave adenomyolysis (TCMAM) along with microwave endometrial ablation (MEA) could replace hysterectomy for treating adenomyosis. Thus, we performed a feasibility study in the treatment of adenomyosis by simultaneously using TCMAM and MEA. Materials and methods: Two adenomyosis patients with menorrhagia and dysmenorrhea who selected MEA as an alternative to hysterectomy were recruited to the study. After MEA was performed, a 4-mm microwave applicator with a conic end was transcervically introduced, under transabdominal ultrasound guidance, into the uterine cavity and inserted into the adenomyosis. Results: We observed improvement in menorrhagia and dysmenorrhea in the patients, a de novo necrotized area in a uterus visualized by contrast enhanced MRI shrank at 3 months after the operation. Conclusion: TCMAM along with MEA is a possible alternative to hysterectomy for treating adenomyosis.

journal of microwave surgery

Transcervical microwave adenomyolysis along with microwave endometrial ablation as a new possible alternative to hysterectomy for the treatment of adenomyosis