MRI Evaluation of the Uterine Structure after Myomectomy
- 1 February 2006
- journal article
- research article
- Published by S. Karger AG in Gynecologic and Obstetric Investigation
- Vol. 61 (2), 106-110
- https://doi.org/10.1159/000089144
Abstract
Myomectomy is a good indication for women with uterine leiomyoma who desire to preserve their child-bearing potential. However, there are still no reports about how long it takes the uterus to reach a stable state after myomectomy. We evaluated the changes in uterine structure during the recovery process after myomectomy by MR images. MR images were used to analyze the time-dependant changes in the length of the uterine cavity, the volume of the uterus, recovery of the junctional zone, prevalence of modification of the endometrium, and uterine structure in the region of the enucleated myoma. The cavity length and the volume of the uterus, and the myometrium were stabilized at six weeks after the myomectomy. With regard to the endometrium, 12 weeks were required for it to achieve a stable state after myomectomy. However, even at 12 weeks postoperatively, 14.2% of the cases showed an unusual view near the uterine incision on MR images. We concluded that the recovery process is complete at 12 weeks after the operation if there are no clear findings of hematoma or edema formation in the myometrium on MR images.Keywords
This publication has 20 references indexed in Scilit:
- Reproductive performance before and after abdominal myomectomy: a retrospective analysisFertility and Sterility, 2004
- Uterine fibroidsThe Lancet, 2001
- Myomectomy: a retrospective study to examine reproductive performance before and after surgeryHuman Reproduction, 1999
- Myometrial zonal differentiation and uterine junctional zone hyperplasia in the non-pregnant uterusHuman Reproduction Update, 1998
- Sonographic evaluation of the myomectomy 'scars'Acta Obstetricia et Gynecologica Scandinavica, 1998
- Assessment of myometrial invasion by endometrial carcinoma: transvaginal sonography vs contrast-enhanced MR imaging.American Journal of Roentgenology, 1993
- Uterine remodelling following conservative myomectomy: Ultrasonographic evaluationActa Obstetricia et Gynecologica Scandinavica, 1992
- High-field MRI and US evaluation of the pelvis in women with leiomyomasMagnetic Resonance Imaging, 1990
- Uterine leiomyomas in the infertile patient: preoperative localization with MR imaging versus US and hysterosalpingography.Radiology, 1988