The Incidence of Adenomyosis in Histerectomy Cases

Aim: To investigate the incidence of adenomyosis in histerectomy cases. Material and Method: The incidence of adenomyosis was evaluated in cases who had undergone hysterectomy of any cause between January 2005-December 2015. Results: In 58% of 205 cases with vaginal hysterectomy the final histopathological evalaution was adenomyosis. The indication for operations of these cases was: pelvic organ prolapsus (n: 117, 57%), endometrial hyperplasia (n: 40, 19.5%), servical displasies (n: 15, 7.3%), postmenoposal bleeding (n: 11, 5.3%), treatment resistant menometroragia (n: 10, 4.9%), leimyoma (n: 9, 4.4%), endometrial polip (n: 2, 1%) and mole hydatiform (n: 1, 0.5%). An additional operation was performed together with vaginal hysterectomy in 64.8% (n: 133) of the cases. The additional operations were sistorectosel operation (n: 46, 34.5%), rektosel operation (n: 26, 19.5%), sistosel operation (n: 22 16.5%), sacrospinosis fixation (n: 21, 15.7%) and transobturatuar tape. Conclusion: Preoperative adenomyosis can be diagnosed more frequently between the ages 40–50 years. Especially in treatment resistant menometroragia cases adenomyozis should be thought in aethiolog