Hysteroscopic Management of Large Symptomatic Submucous Uterine Myomas

Camanni, M.; Bonino, Luca; Delpiano, Elena Maria; Ferrero, Bruno; Migliaretti, Giuseppe; Deltetto, Francesco

doi:10.1016/j.jmig.2009.10.013

Cited by 96 publications

(48 citation statements)

References 35 publications

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“…Nine studies reported satisfaction after transcervical myomectomy but seven were rejected because they had fewer than 40 patients 121,122 or reported satisfaction data from more than 3 years after treatment. 44,[123][124][125][126] The two remaining studies 42,46 were both prospectively conducted and had populations of over 100 women, with more than 90% being pre-menopausal.…”

Section: Polyp/submucosal Fibroids Removalmentioning

confidence: 99%

Cost-effectiveness of diagnostic strategies for the management of abnormal uterine bleeding (heavy menstrual bleeding and post-menopausal bleeding): a decision analysis

Cooper

Barton

Breijer

et al. 2014

Health Technology Assessment

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Section: Polyp/submucosal Fibroids Removalmentioning

confidence: 99%

Cost-effectiveness of diagnostic strategies for the management of abnormal uterine bleeding (heavy menstrual bleeding and post-menopausal bleeding): a decision analysis

Cooper

Barton

Breijer

et al. 2014

Health Technology Assessment

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“…If one or more fibroids are diagnosed, each lesions' size, grade (Fig. 10), and number should be documented accurately to allow estimation of the technical complexity of the resection procedure [18][19][20][21][22][23][24][25].…”

Section: Ultrasonography After Endometrial Samplingmentioning

confidence: 99%

Ultrasound examination before, during, and after office endometrial sampling

2013

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Office endometrial sampling is widely used as the first diagnostic test in women with abnormal uterine bleeding. Because office sampling is a blind procedure, the lesion causing the symptoms may be missed. The use of ultrasound before, during, and after office endometrial sampling improves relevant tissue yield. The measurement of the endometrial thickness informs if sampling is indicated. The evaluation of ultrasound features (without or with fluid instillation) may suggest a focal intracavitary lesion necessitating operative hysteroscopy. The knowledge of the uterine cavity length, shape, and flexion may avoid nonrepresentative sampling. The concordance between the tissue yield and the ultrasound findings reflects the reliability of the sampling. If not concordant, further diagnostic steps such as fluid instillation sonography or hysteroscopy are indicated. We conclude that integrating ultrasound in the diagnostic algorithm for uterine intracavitary pathology optimizes office endometrial sampling.

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“…A study stated that patients with myomas larger than 5 cm or with a Lasmar score higher than 7 were more likely to undergo a 2-step procedure [14].…”

Section: Introductionmentioning

confidence: 99%