38 years old, woman complaining of pelvic pain and dysmenorrhea 8/10 and dyspareunia 6/10. She is not married, Gravid:0 . She wanted to preserve her uterus for future fertility desire . Ultrasound depicted diffuse adenomyosis nearly 6-7cm .We planned and performed laparoscopic osada procedure, triple flap technique for management, primarily for pain. After surgery, medication was given for secondary prevention.
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