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Updated: Jul 20, 2026
Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Leiomyoma characteristics and risk of subsequent surgery after myomectomy
L B Thompson1, S D Reed, B K McCrummen
1Department of Obstetrics and Gynecology, University of Washington, Seattle, WA 98104, USA.
Objective:
Evaluate the association between leiomyoma characteristics at myomectomy with subsequent surgery risk.
Methods:
A population-based nested case control study from a cohort of women at a large HMO, identified as having had a myomectomy was performed; 82 cases had subsequent uterine surgery; 82 controls, frequency matched for age and date of first surgery, did not. Medical records were abstracted; follow-up was 18-128months. Adjusted odds ratios (aOR) and 95% confidence intervals (CI) were calculated.
Results:
Women without subserosal myomas were more likely to have a second surgery as compared to women with at least one subserosal myoma, aOR=4.1(95% CI 1.5-10.9). Size of myomas did not predict subsequent surgery in subanalyses by type of surgery. Number of leiomyomas was not predictive of a subsequent uterine surgery overall or in subgroup analyses.
Conclusion:
Myoma location, but not number or size, impacts the risk for subsequent leiomyoma uterine surgery.
