title: [Hysteroscopic myomectomy: recurrence and satisfaction survey at short- and long-term].
abstract: OBJECTIVE
  To assess the postoperative results at short- and long-term after hysteroscopic resection of submucosal myoma giving rise to symptoms.
  
  
  METHODS
  Retrospective study (University Hospital Estaing, Clermont-Ferrand, France) including patients operated by hysteroscopy in 2004 for one or more submucosal myomas giving rise to symptoms. A survey concerning relapse of symptoms and patient satisfaction was made by phone 4 and 6 years after surgery.
  
  
  RESULTS
  Seventy-two patients (mean age: 45.6 years [18-70]) underwent hysteroscopy. At the time of the first survey, the rate of recurrence was 22% (n=15) with 87.5% of cases of recurrence in the first year. Nineteen percent of the patients needed subsequent treatment. The significant factors for the risk of failure of treatment included younger age, number and large size myoma, intramural extension and incomplete resection. In 2010, the overall failure rate was 31.7% (n=20). Fifty percent of the patients who had an incomplete resection required no further treatment.
  
  
  CONCLUSIONS
  In 70% of cases, hysteroscopic resection remains efficient at long-term. Repeat surgery should not be systematic after incomplete resection. The patients must be fully informed, and especially with respect to the risk factors for recurrence.
authors.affiliation: Service de gynécologie-obstétrique, CHU Estaing, 1, place Lucie-Aubrac, 63000 Clermont-Ferrand, France. nicolas.bourdel@gmail.com
authors.forename: N
authors.initials: N
authors.lastname: Bourdel
authors.forename: C
authors.initials: C
authors.lastname: Bonnefoy
authors.forename: K
authors.initials: K
authors.lastname: Jardon
authors.forename: D
authors.initials: D
authors.lastname: Da Ines
authors.forename: E
authors.initials: E
authors.lastname: Tognazza
authors.forename: B
authors.initials: B
authors.lastname: Rabischong
authors.forename: R
authors.initials: R
authors.lastname: Botchorisvili
authors.forename: J-L
authors.initials: JL
authors.lastname: Pouly
authors.forename: M
authors.initials: M
authors.lastname: Canis
authors.forename: G
authors.initials: G
authors.lastname: Mage
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000706:statistics & numerical data; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology*; D017060:Patient Satisfaction; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000601:surgery*