Related Experiment Video
Updated: Aug 12, 2026
Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Modified sonohysterography immediately after hysteroscopy in the diagnosis of submucous myoma
1Department of Obstetrics and Gynecology, National Cheng Kung University Hospital, Tainan, Taipei.
Study Objective:
To report a new, convenient, inexpensive, office-based examination to evaluate submucous myomas before hysteroscopic myomectomy.
Design:
Retrospective analysis (Canadian Task Force classification II-2).
Setting:
University-affiliated teaching hospital.
Patients:
One hundred seventy-nine consecutive women.
Intervention:
Diagnostic flexible hysteroscopy and transvaginal ultrasonography.
Measurements And Main Results:
Transvaginal ultrasonography was performed immediately after hysteroscopy. The size and depth of invasion of submucous myomas were clearly identified by retained fluid after hysteroscopy. Locations of myomas were as follows: anterior wall, 37 (20.7%); posterior wall, 52 (29.1%); lateral wall, 40 (22.3%); and fundus, 31 (17.3%); and multiple myomas, 19 (10.6%). Myomas with stalk were found in 101 patients (56.4%) and without stalk in 78 (43.6%). The mean myoma diameter was 2.95 +/- 2.12 cm and mean weight was 30.2 +/- 33.6 g.
Conclusion:
It is important to obtain details as to size and depth of invasion of submucous myomas before hysteroscopic myomectomy. Sonohysterography immediately after hysteroscopy is superior to traditional diagnostic methods.
