Hysteroscopic Resection of Fibroids: Results with a 6-Year Follow-up Period
- 1 January 1999
- journal article
- research article
- Published by Mary Ann Liebert Inc in Journal of Gynecologic Surgery
- Vol. 15 (1), 1-5
- https://doi.org/10.1089/gyn.1999.15.1
Abstract
The object of this report is to specify the development of functional results 3 years after a preliminary experience in the hysteroscopic resection of hemorrhagic submucous fibroids in 196 patients. One hundred ninety-six patients with abnormal uterine bleeding were treated between 1987 and 1992. Equipment, techniques, characteristics of procedures, and first results were detailed in the previous article. With a mean follow-up of 73 months (range: 50–104), the functional results were as follows: 13.8% of patients did not remain in contact, 68.4% of patients noted symptomatic improvement, and 17.8% of patients had failure (subsequent hysterectomy: 12.7%). Forty-nine patients had repeat resection in this series, 61 became menopausal after surgery, and 21 were taking hormone replacement therapy with good results. Developed as an alternative to hysterectomy, operative hysteroscopy had to demonstrate its safety and effectiveness. This modality of treatment appears to be satisfactory over the long term, with low complication rates. (J GYNECOL SURG 15:1, 1999)Keywords
This publication has 12 references indexed in Scilit:
- A national survey of the complications of endometrial destruction for menstrual disorders: the MISTLETOE studyBJOG: An International Journal of Obstetrics and Gynaecology, 1997
- Myomectomies by endo-uterine resectionCurrent Opinion in Obstetrics and Gynecology, 1996
- Hysteroscopic management of menstrual disorders: a review of 395 patientsEuropean Journal of Obstetrics & Gynecology and Reproductive Biology, 1996
- Adenomyosis must be considered in patients with menorrhagia and a normal-appearing cavity on hysteroscopy or ultrasonographyAmerican Journal of Obstetrics and Gynecology, 1995
- A Scottish audit of hysteroscopic surgery for menorrhagia: complications and follow upBJOG: An International Journal of Obstetrics and Gynaecology, 1995
- Hysteroscopic Treatment of Uterine FibroidsJournal of Gynecologic Surgery, 1995
- Proliferative Activity of Human Uterine Leiomyoma Cells as Measured by Automatic Image AnalysisGynecologic and Obstetric Investigation, 1992
- Removal of Large Symptomatic Intrauterine Growths by the Hysteroscopic ResectoscopeObstetrics & Gynecology, 1990
- Excision of submucus fibroids with hysteroscopic controlAmerican Journal of Obstetrics and Gynecology, 1976