Adenomyosis Treated with Microwave Thermal Ablation
By Dr Amita Shah
Patient Profile
- Age: 44 years
- Country: Libya, Africa
- One daughter (23 years old)
- Primary Concern: Severe chronic lower abdominal pain and backache for 1-2 years
Presenting Complaints
Continuous lower
abdominal pain
Severe pain during menstruation
Chronic
backache
Progressive worsening of symptoms affecting daily life
Diagnostic Findings
Ultrasound and MRI revealed Adenomyosis
What is Adenomyosis?
A condition where the endometrial tissue (lining of the uterus) grows into the myometrium (muscle layer of the uterus).
This causes:
* Internal bleeding within the uterine muscle
* Enlargement of the uterus
* Severe pelvic pain
* Painful menstruation
Treatment Challenge
The ideal treatment option was a hysterectomy (uterus removal).
However, the patient:
* Wanted to preserve her uterus
* Refused major surgery
* Did not want long-term medications
* Preferred a minimally invasive solution
Innovative Treatment Offered
A minimally invasive, uterus-preserving procedure was performed.
Procedure Highlights
- 3-4 tiny abdominal incisions
- Robotic precision surgery
- Removal of the dermoid cyst only
- Preservation of the uterus and ovaries
- Minimal blood loss and scarring
- Faster recovery and less post-operative pain
Outcome
- Patient was discharged the very next day
- Complete relief from abdominal pain
- No major scar or prolonged hospital stay
- Fertility and reproductive organs preserved
- Emotional reassurance after fear of cancer diagnosis
Clinical Significance
This case highlights the importance of:
- Accurate diagnosis of ovarian masses
- Avoiding unnecessary radical surgeries in young women
- Using minimally invasive robotic techniques for faster recovery and organ preservation
Key Takeaway
A modern, minimally invasive approach helped relieve chronic pain while preserving fertility potential and avoiding major surgery.
