Hysteroscopic Myomectomy for Abnormal Uterine Bleeding

Posted by John Marlow, M.D. - 01/10/07 at 06:10:44 pm

Abnormal uterine bleeding is one of the most common reasons women see gynecologists. Fibroids are a leading cause of this bleeding. When fibroids grow close or enter the endometrial chamber, the uterine bleeding can be severe. This results in a progressive deterioration in the patient’s quality of life. It may also affect her fertility for those attempting pregnancy. A new treatment for this serious condition is hysteroscopy myomectomy. More and more gynecologists are being trained in its use.

Polena and associates reported on 235 patients undergoing outpatient hysteroscopy myomectomy. The median follow-up of 84% of the patients was for 40 months. A successful outcome was reported in 94% of these patients.

In the old days, hysterectomy was the principle treatment option for these patients. This is no longer the case. Hysteroscopy myomectomy is an effective outpatient option for women with submucosal fibroids and excessive uterine bleeding.

References:

Polena, et al Long term results of hysteroscopic myomectomy in 235 patients. Eur J Obstet Gynecol Reprod Biol 2007:130:232-7

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