AbstractThe objective of the study was to assess the safety and efficacy of conservative laparoscopic electrocoagulation adenomyolysis (CLEA) in the management of women with
symptomatic adenomyosis. The study design is prospective observational study. The setting was Department of Obstetrics and Gynecology, Mansoura University Hospital. Thirty-nine premenopausal women, complaining of chronic pelvic pain and/or menorrhagia, were diagnosed to have adenomyosis by transvaginal ultrasonography (TVS) and/or magnetic reso-nance imaging (MRI), between June 2008 and June 2011 They were subjected to laparoscopic multiple uterine unipola electrocoagulation diathermy punctures aiming at
adenomyolysis. Women were evaluated before and at 3, 6 and 12 months after the procedure. Main outcome is the mag-nitude of pain by using the visual analog scale (VAS and the overall patient self satisfaction as assessed by short form 36 (SF-36) questionnaires; secondary outcome is the uterine vol-ume as measured by TVS. At 3-, 6-, and 12-month follow-up visits, there was a gradual, yet a significant, reduction in the
median VAS scoring system of pain (p