A New Technique for Hysteroscopic Resection of Intramural Myomas

Abstract

Abstract

Background: Uterine intramural myomas are associated with abnormal uterine bleeding and infertility. Because of their location, they can be difficult to remove by hysteroscopy and laparoscopy. This case report describes a new technique, combining ultrasonography and hysteroscopy for removal of small and medium sized intramural myomas lying adjacent to the uterine cavity. Cases: Three women with intramural myomas were operated on, using the new technique described. Results: It was possible to remove small intramural myomas close to the uterine cavity. These myomas were easily identified and removed without any complications and without damage to the endomyometrium. Conclusions: Small to medium-sized intramural myomas close to the uterine cavity seem to decrease fertility or cause abnormal bleeding, but there is a need to evaluate whether removal of these myomas improves the reproductive outcome or restores abnormal bleeding. Therefore, the feasibility and outcome of this technique should be evaluated in larger studies. (J GYNECOL SURG 28:147)