Laparoscopic adenomyomectomy for adenomyosis: Pain relief and postoperative recovery

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Created On: 22/05/2026

This study sought to determine the potency of laparoscopic adenomyomectomy in reducing adenomyosis-associated pelvic pain and improving postoperative outcomes in women diagnosed with adenomyosis.

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Key take away

Laparoscopic adenomyomectomy successfully reduces adenomyosis-related pain and improves short-term postoperative outcomes.

Background

This study sought to determine the potency of laparoscopic adenomyomectomy in reducing adenomyosis-associated pelvic pain and improving postoperative outcomes in women diagnosed with adenomyosis.

Method

A retrospective analysis was performed on 68 women with adenomyosis who underwent laparoscopic adenomyomectomy. Patients were followed for 24 weeks after surgery. Postoperative pain relief was assessed via the visual analog scale (VAS). Data on symptom recurrence, infertility management, and fertility outcomes were also collected and analyzed.

Result

A total of 26 eligible patients were included in the final evaluation. Remarkable improvement in pain symptoms, including dysmenorrhea and chronic pelvic pain, was noted in 100% of patients at 6 weeks, 96.2% at 12 weeks, and 96.0% at 24 weeks post-surgery. Although no pregnancies were reported during the follow-up period, 42.3% of patients underwent fertility or infertility treatment after surgery. Recurrence of pain symptoms was noted in 7.7% of cases.

Conclusion

Laparoscopic adenomyomectomy demonstrated substantial potency in relieving adenomyosis-related pain and boosting quality of life for up to 24 weeks postoperatively. The procedure may also offer a favorable disease-free window for ovarian stimulation and fertility treatment. However, successful pregnancy outcomes may require a longer recovery interval after surgery. Additional large-scale studies are warranted to determine long-term fertility and reproductive outcomes.