Parallel hysteroscopic and laparoscopic myomectomy in infertile patients

Abstract

The past decades have brought about numerous new methods in the treatment of the most frequent benign gynaecological tumour, the myoma, while at the same time, the indications of traditional surgical treatment have also been reassessed. The constant procrastination of pregnancy to older and older age, the frequency of myoma growing by age and the wider application of assisted reproduction techniques have created new conditions for the treatment of myoma. In our research, we analysed the data of 30 infertile patients out of a group of 99 who had hysteroscopic and laparoscopic myomectomy carried out in one session. In the course of 2 years, nine women got pregnant. Besides two miscarriages, the others could carry their pregnancy for at least 34 weeks. Out of the seven deliveries, five (71%) ended with caesarean section, for obstetrical reasons in all cases. In case of uterus with multiplex myoma, hysteroscopy and laparoscopy can safely be applied in parallel and it does not necessarily imply the termination of the occurring pregnancy by caesarean section.