THE SIGNIFICANCE OF PAIN IN LEIOMYOMA WITH ADENOMYOSIS AND LIOMYOMA WITHOUT ADENOMYSIS

Taweda Khalifa; Karima Abidalla; Nural Al-Zail

doi:10.64516/16d5az96

Authors

Taweda Khalifa Department of Obstetrics and Gynecology, Faculty of Medicine, Omar Al-Mokhtar University, Al-Bayda, Libya Author
Karima. S. Abidalla Department of Obstetrics and Gynecology, Faculty of Medicine, Omar Al-Mokhtar University, Al-Bayda, Libya Author
Nural.Al-Zail Department of Zoology, Faculty of Science, Omar Al-Mokhtar University, Al-Bayda, Libya Author

DOI:

https://doi.org/10.64516/16d5az96

Keywords:

Hysterectomy, Leiomyoma, Adenomyosis, Pain.

Abstract

The pain represented as dysmenorrhea, dyspareunia and pelvic pain, which are common symptoms to leiomyoma and adenomyosis since these two disorders frequently occur concurrently. The study aimed to compare women undergoing hysterectomy with a pathological finding of both leiomyoma and adenomyosis to women with leiomyoma alone in relation to the clinical symptom of pain. identifying adenomyosis in women with leiomyoma will allow improved clinical decision-making regarding alternative to hysterectomy and likely a decreased risk of treatment failure. Methods: A retrospective study done at Salesi-hospital ANCONA (ITALY), The data collected from the patient files from January -2012 to December -2012. All operated patients for leiomyoma by hysterectomy was included. Result Our study sample comprised of 97 cases operated for leiomyoma by hysterectomy. From the 97 cases, there were 90 cases of leiomyoma without adenomyosis and 7 cases of leiomyoma with adenomyosis. Conclusion the pain is an important symptom of both leiomyoma uterus alone or leiomyoma with adenomyosis but present more in leiomyoma with adenomyosis in women undergoing hysterectomy, the pain commonly present more in patient with adenomyosis with leiomyoma and correlate in high percentage to the presence of adenomyosis on histopathological examination of specimen, so in cases of leiomyoma uterus adenomyosis must be expected as this affect the line of treatment.

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