[Hysteroscopic myoma resection in hypermenorrhea]

In 20 patients, a hysteroscopic resection of myomas because of menometrorrhagia was carried out between February 1992 to July 1993. Solitary myoma was diagnosed before sonographically, hysteroscopically and histologically. 14 patients had been pretreated with GnRH-analogs for 2 or 3 months, whereas in 6 patients the transcervical resection of myomas was carried out immediately after menstruation. In a follow-up period of 3-18 months, an eumenorrhea could be reached in 19 patients. In one patient, a second session for a resection of a small myoma was necessary. There were no intra- or postoperative complications. The resection of myomas is a useful organ-retaining option of treatment in patients with submucous myoma and menometrorrhagia.