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[Hysteroscopic myoma resection in hypermenorrhea]

T Römer1

  • 1Klinik für Frauenheilkunde und Geburtshilfe, Ernst-Moritz-Arndt-Universität Greifswald.

Zeitschrift Fur Arztliche Fortbildung
|May 1, 1996
PubMed
Summary

Hysteroscopic resection of submucous myomas effectively treated menometrorrhagia in 20 patients, achieving eumenorrhea in 19. This organ-preserving surgical option demonstrated high success rates with no complications.

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Area of Science:

  • Gynecology
  • Minimally Invasive Surgery
  • Reproductive Medicine

Context:

  • Menometrorrhagia is a common gynecological issue often caused by submucous uterine fibroids.
  • Hysteroscopic resection offers a minimally invasive approach to treat uterine fibroids.
  • Previous treatments like GnRH-analogs were evaluated alongside immediate resection.

Purpose:

  • To evaluate the efficacy and safety of hysteroscopic myoma resection for treating menometrorrhagia.
  • To assess the outcomes of hysteroscopic myoma resection in patients with submucous fibroids.
  • To determine the necessity of pre-treatment with GnRH-analogs.

Summary:

  • Twenty patients with symptomatic submucous myomas causing menometrorrhagia underwent hysteroscopic resection.
  • 14 patients received pre-treatment with GnRH-analogs; 6 underwent immediate resection.
  • Follow-up of 3-18 months showed eumenorrhea in 19 patients, with one requiring a second procedure. No complications were reported.

Impact:

  • Hysteroscopic myoma resection is a safe and effective organ-preserving treatment for women with submucous fibroids and menometrorrhagia.
  • This procedure can significantly improve quality of life by resolving abnormal uterine bleeding.
  • It provides a valuable alternative to hysterectomy for women desiring fertility preservation.

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