Abstract
ABSTRACT
We report long-term results of transcervical resections of submucous fibroids using a retrospective case review. From October 1987 to December 1992, hysteroscopic surgery was performed on 239 patients who had one or more submucous fibroids. The clinical manifestations were represented by menorrhagia or metrorrhagia or both, postmenopausal metrorrhagia, and primary or secondary infertility. Owing to incomplete resections or to recurrence of abnormal bleeding, 39 patients had a repeat resection. Two hundred seventy-nine transcervical resections were performed on 239 patients. Our mean follow-up period was 2.5 years. Although rare, complications consisted mainly of 7 cases of uterine perforation and 5 cases of metabolic disturbance. Sixteen patients came from sterile couples; we obtained 4 pregnancies (25%). Twenty-seven patients had postmenopausal metrorrhagia, and the disappearance of postmenopausal bleeding was obtained in 24 cases (88.9%). One hundred ninety-six patients had menstrual disorders, and a successful result was obtained in 81.1%. Transcervical resection is a safe, effective, and long-term treatment of submucous fibroids. (J GYNECOL SURG 11:227, 1995)
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