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Related Experiment Videos

Fertility after hysteroscopic myomectomy

F Ubaldi1, H Tournaye, M Camus

  • 1Centre for Reproductive Medicine, University Hospital, Vrije Universiteit Brussel-VUB, Belgium.

Human Reproduction Update
|January 1, 1995
PubMed
Summary

Hysteroscopic myomectomy is a safe and effective fertility-restoring surgery for women with submucous fibroids. This minimally invasive procedure offers advantages over traditional surgery with a low complication rate.

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Area of Science:

  • Reproductive Medicine
  • Minimally Invasive Surgery
  • Gynecologic Oncology

Background:

  • Submucous myomas significantly impact female fertility.
  • Traditional myomectomy can involve extensive surgery and longer recovery.
  • Hysteroscopic myomectomy offers a less invasive alternative.

Purpose of the Study:

  • To evaluate the safety and efficacy of hysteroscopic myomectomy.
  • To assess fertility outcomes in infertile women undergoing the procedure.
  • To compare hysteroscopic myomectomy with abdominal approaches.

Main Methods:

  • Review of available data on hysteroscopic myomectomy.
  • Inclusion of 134 infertile patients who underwent the procedure.
  • Procedures performed using resectoscope, Nd: YAG laser, or scissors.

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Main Results:

  • A conception rate of 58.9% (79 out of 134 patients) was observed.
  • Fertility outcomes are comparable to laparotomic submucous myomectomy.
  • Shorter hospitalization, reduced morbidity, and no hysterotomy were noted advantages.
  • Operative risk is less than 3%, with common complications including uterine perforation and hemorrhage.

Conclusions:

  • Hysteroscopic myomectomy is a safe and effective surgical option.
  • It is a relatively simple procedure for restoring fertility in women with submucous myomas.
  • The technique presents significant benefits over abdominal surgery.