Hysterography before and after myomectomy

Area of Science:

• Reproductive Medicine
• Diagnostic Imaging
• Gynecologic Surgery

Background:

• Uterine fibroids (myomata) can distort the uterine cavity, impacting fertility and surgical planning.
• Hysterography is a common imaging technique used to evaluate the uterine cavity before and after myomectomy.

Purpose of the Study:

• To compare pre- and postmyomectomy hysterograms in patients undergoing surgical removal of uterine fibroids.
• To assess the diagnostic value of preoperative hysterography in predicting myomectomy feasibility and outcomes.

Main Methods:

• Retrospective comparison of hysterograms from 12 patients before and after myomectomy.
• Evaluation of uterine cavity shape and size, and fallopian tube patency.

Main Results:

• The uterine cavity returned to normal shape and size in 11 out of 12 cases post-surgery.
• Preoperative hysterography effectively localized myomata but had limited predictive value for surgical feasibility.
• Two cases showed improved fallopian tube visualization and patency after fibroid removal.

Conclusions:

• Myomectomy generally restores normal uterine cavity morphology, regardless of preoperative distortion.
• Hysterography is valuable for preoperative diagnosis and localization of uterine fibroids but not for predicting surgical success.