Transcervical resection of submucous myoma

Area of Science:

• Gynecology
• Minimally Invasive Surgery

Background:

• Menorrhagia and metrorrhagia are common gynecological issues often caused by uterine fibroids.
• Submucous myomas, particularly prolapsed ones, can present significant surgical challenges.

Purpose of the Study:

• To evaluate the efficacy of transcervical resection (TCR) for pedunculated submucous myomas.
• To compare the use of operating hysteroscope versus urologic resectoscope in TCR procedures.

Main Methods:

• Thirteen women with menorrhagia/metrorrhagia underwent TCR using either an operating hysteroscope or urologic resectoscope.
• Diagnostic hysteroscopy preceded TCR; fluid media included dextrose and urigal.
• Second-look hysteroscopy was performed three months post-operation.

Main Results:

• All thirteen patients experienced significant improvement in menorrhagia, metrorrhagia, and anemia post-TCR.
• TCR facilitated subsequent hysterectomies in cases with large prolapsed submucous myomas and other uterine pathologies.
• Most patients required no further operations after TCR.

Conclusions:

• Transcervical resection is an effective treatment for pedunculated submucous uterine fibroids causing abnormal uterine bleeding.
• TCR can be performed using either an operating hysteroscope or a urologic resectoscope.
• This technique offers a viable solution for managing fibroids, potentially avoiding more extensive surgeries.