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Outcome of hysteroscopic resection of submucous myomas for infertility.

Abstract：

OBJECTIVE:To examine the reproductive outcome after operative hysteroscopic resection of submucous myomas in women for whom no other infertility factor was identified. DESIGN:Fifteen infertile women with submucous myomas underwent an intensive workup to exclude other causes of infertility. Operative hysteroscopy for resection of the submucous myomas was performed using a rigid 26 French resectoscope (Karl Storz GmbH & Co., Tuttlingen, Germany). SETTING:Academic tertiary referral center. RESULTS:The mean +/- SD duration of the procedure was 25.5 +/- 5.6 minutes. No operative or postoperative complications occurred and all patients were discharged within 6 hours. The follow-up period was 12.0 +/- 4.2 months (mean +/- SD). Seven women conceived (pregnancy rate of 47%) and six of them subsequently delivered at term. CONCLUSION:The results of this study indicate that operative hysteroscopy achieved a pregnancy rate comparable to myomectomy via laparotomy. These results suggest that operative hysteroscopy is the procedure of choice for the resection of submucous myomas in infertile women.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Goldenberg M,Sivan E,Sharabi Z,Bider D,Rabinovici J,Seidman DS

doi

10.1016/s0015-0282(16)57844-3

subject

Has Abstract

pub_date

1995-10-01 00:00:00

pages

714-6

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)57844-3

journal_volume

64

pub_type

杂志文章

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