Resectoscopic Myomectomy for Treatment of Menorrhagia

Since March 1986, 150 women with submucous leiomyomata underwent hysteroscopic resection. The women presented with menorrhagia and/or dysmenorrhea. Patients undergoing concomitant endometrial ablation or who had submucous leiomyomata occupying greater than 50% of the endometrial cavity were medically suppressed for 1 month prior to surgery. The intraoperative complication rate was 1.9%. Resolution of menorrhagia was obtained after 6 months in approximately 91% of the patients who underwent one or two myomectomies and in 98% of the women who underwent one or two concomitant endometrial ablations. After six years, 82.1% continued to have amenorrhea, hypomenorrhea, or normal menses. Of women desirous of pregnancy, 62.5% conceived and carried to term.