Intratissue Laser Thermotherapy in Treatment of Uterine Myomata

In 15 women with uterine bleeding, 6 with infertility, and 3 with unsuccessful pregnancy, uterine myomata with subserous-interstitial position were verified by ultrasonography and hysteroscopy. In all patients the diameter of the myoma did not exceed 20 mm. Intratissue neodymium:yttrium-aluminum-garnet laser thermotherapy was performed. A fiber with even circumferential distribution of radiation over the whole tip surface was used. Hemostasis was achieved in all patients and followed for not less than 3 months. Ultrasonography 1, 2, and 3 months postoperatively showed a decrease in the formation volume compared with baseline (p <0.050). Three women conceived within 6 months of the procedure.