Outcome of hysteroscopic resection of submucous myomas for infertility.
OBJECTIVE
To examine the reproductive outcome after operative hysteroscopic resection of submucous myomas in women for whom no other infertility factor was identified.


METHODS
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).


METHODS
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.


CONCLUSIONS
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.
Goldenberg
M
M
Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Sivan
E
E
Sharabi
Z
Z
Bider
D
D
Rabinovici
J
J
Seidman
D S
DS
D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology*; D009092:Mucous Membrane / Q000601:surgery; D009214:Myoma / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D011184:Postoperative Period; D011247:Pregnancy; D014594:Uterine Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery*