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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
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.
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.
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.