title: [Except fertility, place of myomectomy in perimenopause and after menopause].
abstract: More and more perimenopausal and menopausal women seek an alternative to hysterectomy because they desire future pregnancy or wish to retain their uteri even if they have completed childbearing. Myomectomy may be an option. We can't know the evolution of leiomyomas. Hysteroscopic myomectomy is the treatment of submucous fibromas. Recurrence and subsequent surgery occurs in 16 to 21 % of cases. Intramural and subserousal myomas can be treated by myomectomy. Myomectomy should be performed laparoscopically because of shorter hospital stay, faster recovery and reduced postoperative pain. Second surgery is needed in 4-16 % of patients. If hysterectomy is performed, it should be by vaginal or laparoscopic route. There is no difference in perioperative morbidity between hysterectomy and myomectomy. Intra- and postoperative complications are similar between myomectomy and hysterectomy. Hysterectomy may be prefered if there is risk factor of malignancy or if the fibroma is discovered or has a rapid growth after menopause.
authors: Service de gynécologie médicochirurgicale, pôle Femme-Mère-Nouveau-né, hôpital Jeanne-de-Flandre, CHRU, avenue Eugène-Avinée, 59037 Lille cedex, France. geraldine.giraudet@chru-lille.fr
authors: G
authors: G
authors: Giraudet
authors: J-P
authors: JP
authors: Lucot
authors: C
authors: C
authors: Rubod
authors: P
authors: P
authors: Collinet
authors: L
authors: L
authors: Boulanger
authors: B
authors: B
authors: Dedet
authors: D
authors: D
authors: Vinatier
authors: M
authors: M
authors: Cosson
mesh_terms: D018450:Disease Progression; D005260:Female; D005298:Fertility / Q000502:physiology; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data*; D006801:Humans; D007889:Leiomyoma / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D047648:Perimenopause / Q000502:physiology; D017698:Postmenopause / Q000502:physiology; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D014594:Uterine Neoplasms / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D057832:Watchful Waiting / Q000706:statistics & numerical data