Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Transcervical hysteroscopic myomectomy: long-term effects on abnormal uterine bleeding
Objective: To evaluate the effectiveness of hysteroscopic myomectomy in the treatment of symptomatic submucous leiomyomasand long-term outcomes. Study Design: A total of 107 patients with abnormal uterine bleeding (n = 84) andor infertility (n = 23) were submitted to hys-teroscopic resection. Main outcome measures: control of menorrhagia and reproductive outcome. Results: Abnormal uterine bleeding was controlled in 68 out of 84 patients with one procedure; 15 needed a second procedurefor incomplete resection.Five patients had menorrhagic pathology relapse. Among 23 patients with associated infertlity pregnancywas achieved in eight cases, seven went to term and one miscarried; one patient needed a second procedure. Conclusions: Transcervical hysteroscopic resection of submucous myomas is effective for control of abnormal uterine bleeding. Further studies are needed to define the value of such procedure in the treatment of infertility. Short and long-term results are strictly correlated to the possibility of obtaining a complete resection, which is conditioned bydegree (0, 1, 2) and number of myomas.