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Related Experiment Videos

Resectoscopic myomectomy.

S L Corson1, P G Brooks

  • 1Department of Obstetrics and Gynecology, Pennsylvania Hospital, University of Pennsylvania School of Medicine, Philadelphia.

Fertility and Sterility
|June 1, 1991
PubMed
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Resectoscopic myomectomy effectively treats heavy menstrual bleeding and painful periods, with a good success rate for improving reproductive outcomes. This outpatient procedure demonstrates safety and efficacy for managing uterine fibroids.

Area of Science:

  • Gynecology
  • Minimally Invasive Surgery
  • Reproductive Medicine

Background:

  • Uterine fibroids (leiomyomas) are common benign tumors that can cause significant gynecological issues.
  • Menorrhagia (heavy menstrual bleeding) and dysmenorrhea (painful periods) are primary symptoms impacting quality of life.
  • Reproductive wastage, including infertility and recurrent pregnancy loss, can be associated with fibroids.

Purpose of the Study:

  • To assess the safety and effectiveness of resectoscopic myomectomy.
  • To evaluate the procedure's impact on menorrhagia, dysmenorrhea, and reproductive outcomes.
  • To determine the feasibility of resectoscopic myomectomy as an outpatient procedure.

Main Methods:

  • A retrospective analysis of 92 patients undergoing resectoscopic myomectomy between 1986 and 1989.

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  • Procedures included myomectomy alone or with concomitant endometrial ablation.
  • Outcomes measured included symptom relief (dysmenorrhea, menorrhagia) and reproductive results (pregnancy rates).

    • Main Results:

    • Significant symptom improvement: dysmenorrhea resolved in 24/28 patients, menorrhagia ceased in 65/80.
    • Positive reproductive outcomes: 10/13 patients achieved pregnancy with 9 live births.
    • The procedure was generally safe, with rare complications like uterine perforation and endometritis, and two cases of leiomyosarcoma identified post-operatively.

    Conclusions:

    • Resectoscopic myomectomy is a safe and effective surgical option for managing symptomatic uterine fibroids.
    • The procedure offers significant relief from menorrhagia and dysmenorrhea.
    • It is a relatively simple outpatient surgery with favorable reproductive outcomes.