Transcervical radiofrequency ablation of focal adenomyosis: pilot results

Figures & data

Figure 1. Overview of patients.

Figure 2. Preoperative and postoperative ultrasound imaging. (A) Preoperative ultrasound imaging; (B) postoperative ultrasound imaging; DR. E. PIRIYEV: name of the first author; Weyertal: name of the hospital.

Table 1. Patient characteristic and preoperative findings.

Patients (n)	13
Age (years; mean ± SD)	44 ± 8.03 (range 27–54)
Patients with heavy menstrual bleeding (n)	13 (100%)
Patients with intermenstrual bleeding (n)	2 (15.4%)
Areas of focal adenomyosis (n)	16
Patients with 1 area of focal adenomyosis (n)	11 (84%)
Patients with 2 areas of focal adenomyosis (n)	1 (8%)
Patients with 3 areas of focal adenomyosis (n)	1 (8%)
Mean diameter of adenomyosis (cm)	4.2 ± 1.4
Patients with 1 fibroid	2 (FIGO 1, FIGO 5) (15.4%)
Patients with 2 fibroids	1 (FIGO 4 and 6) (8%)
Mean fibroid diameter (cm)	3.6 ± 0.7

Table 2. Intraoperative parameters and postoperative outcomes.

Total number of ablations	Number of patient (total N = 13)	No. of ablations/lesion	Number of distinct adenomyosis areas (total N = 16)
1	1	1	8
2	3	2	4
3	8	3	3
4	1	4	1
Mean ablation time per patient (min)		8.4 ± 4
Mean ablation time per finding (min)		5 ± 3.6
Mean procedure time (min)		29.4 ± 10
# of patients at follow up (n)		12 patients (92%)
# of patients lost to follow up (n)		1 patient (8%)
# of patients with symptom improvement (n)		10 patients (83%)
# of patients with symptoms unchanged (n)		2 patients (17%)
Diameter of adenomyosis (cm)		2.8 ± 1.3
Mean treated fibroid diameter (cm)		1.9 ± 1.0