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[Hysteroscopic treatment of uterine fibromas]
L Cravello1, C D'Ercole, P Azoulay
1Service de Gynécologie-Obstétrique B, Hôpital de La Conception, Marseille.
Objectives:
To study retrospectively the long-term outcome after hysteroscopic treatment for intrauterine fibromas.
Methods:
From October 1987 to January 1993, endouterine glycolol resection was performed in 239 patients with intrauterine fibromas. The operation had to be repeated in 39 patients due to incomplete resection or recurrent symptomatology. Patients presented with menometrorrhage, post-menopausal metrorrhage or infertility.
Results:
Intra-operative complications were rare, mainly uterine perforations (7 cases) or metabolic syndromes due to reabsorption of glycine (5 cases). Mean follow-up was 2.5 years. The couple was sterile in 16 cases and 4 pregnancies were obtained (25%). Postmenopausal metrorrhage was present in 27 patients and the symptomatology disappeared in 24 (89%). In all, 196 women consulted for bleeding, good results were achieved in 81.1%.
Conclusion:
Endouterine resection is a sure, effective and long-lasting treatment for intrauterine fibromas.