Long-term results of hysteroscopic myomectomy in 235 patients |
| |
Authors: | Polena Viola Mergui Jean-Luc Perrot Nicolas Poncelet Christophe Barranger Emmanuel Uzan Serge |
| |
Affiliation: | aService de gynécologie-obstétrique, Hôpital Tenon, 4 rue de la Chine, 75020 Paris, France |
| |
Abstract: | OBJECTIVE: To assess the efficacy of transcervical resection of submucous fibroids according to type and size. MATERIALS AND METHODS: Retrospective follow-up of 235 women with submucous fibroids at outpatient hysteroscopy who underwent a hysteroscopic transcervical resection. The main indications were the abnormal uterine bleeding and fertility problems. Thirty-seven percent of patients had an associated endometrial ablation and 32% had a polyp resection. Fifty-one percent of women were menopausal. In cases of incomplete resection a repeat procedure was offered. RESULTS: Intra-operative complications were rare (2.6%) and there was no major complication. Eighty-four percent of cases were followed-up. The median follow-up was 40 months (range 18-66 months). The procedure was classed as a success in 94.4% of patients. Among the cases that were classed as a failure, four patients had a repeated hysteroscopic procedure, three patients had a subsequent hysterectomy and four patients presented with abnormal uterine bleeding at follow-up. CONCLUSION: The hysteroscopic transcervical resection of submucous fibroids is a safe and highly effective long-term therapy for carefully selected women presenting with abnormal uterine bleeding and fertility problems. It produces satisfactory long-term results with few complications. |
| |
Keywords: | Hysteroscopic resection Submucous fibroid Abnormal uterine bleeding |
本文献已被 ScienceDirect PubMed 等数据库收录! |