title: Uterine myomata: Organ-preserving surgery.
abstract: Most women with uterine myoma are asymptomatic and do not require any treatment. However, myoma can also lead to menorrhagia, pressure symptoms, abdominal pain, and infertility. Management of symptomatic women with myoma depends on several factors, including age, desire for fertility, and myoma characteristics. Uterine myoma that distorts the uterine cavity, either submucous myoma or intramural myoma, with a submucous component reduces fertility, and is associated with increased uterine bleeding. The treatment of choice is hysteroscopic myomectomy or abdominal myomectomy, preferably by laparoscopy. Robotic assistance in laparoscopic myomectomy leads to outcomes similar to conventional laparoscopic myomectomy. However, it is expensive. Newer techniques include either laparoscopic or transcervical radiofrequency thermal ablation.
authors.affiliation: Department of Obstetrics and Gynecology, McGill University, Montreal, Canada.
authors.forename: Francois
authors.initials: F
authors.lastname: Closon
authors.affiliation: Department of Obstetrics and Gynecology, McGill University, Montreal, Canada. Electronic address: togas.tulandi@mcgill.ca.
authors.forename: Togas
authors.initials: T
authors.lastname: Tulandi
mesh_terms: D000367:Age Factors; D017115:Catheter Ablation; D005260:Female; D059247:Fertility Preservation; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D059351:Organ Sparing Treatments / Q000379:methods*; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D000267:Tissue Adhesions / Q000209:etiology / Q000517:prevention & control; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*
keywords: laparoscopic myomectomy; myoma; operative hysteroscopy; radiofrequency ablation; robotic myomectomy