Role of a bipolar resectoscope in subfertile women with submucous myomas and menstrual disorders

Makris, Nikolaos; Vomvolaki, E.; Mantzaris, George; Kalmantis, K; Hatzipappas, John; Antsaklis, Aris

doi:10.1111/j.1447-0756.2007.00667.x

Cited by 23 publications

(22 citation statements)

References 33 publications

(50 reference statements)

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“…Bernard [5] stated that the delivery rate is higher in women with a single myoma than in those with two or more myomas (p ¼ 0.02). Some authors do not detect differences based on size or localization of the fibroids [24,25]. In our study, the number of fibroids did not influence the pregnancy, delivery or abortion rates.…”

Section: Discussioncontrasting

confidence: 75%

“…A subsequent retrospective study of 186 patients subjected to hysteroscopic myomectomy demonstrated a significant decrease in the abortion rate, and also a significant increase in the live births rate [23]. Therefore, when fibroids are the only infertility factor, it seems clear that hysteroscopic myomectomy provides a better pregnancy rate [24]. Considering this data, it is desirable to treat all women who wish to become pregnant.…”

Section: Discussionmentioning

confidence: 96%

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Pregnancy outcome after hysteroscopic myomectomy

Litta

Conte

Marchi

et al. 2013

Gynecological Endocrinology

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The objective of this longitudinal retrospective study was to evaluate the influence of submucosal myomas on pregnancy outcome in infertile patients after resectoscopic myomectomy. One-hundred and four women with at least a 1-year-long history of infertility and the presence of submucosal myomas as the only cause of infertility were selected after surgical treatment. Pregnancy, delivery and abortion rates were investigated. Patients were divided into three groups according to the myoma classification (G0, G1 and G2). Gestational outcomes were analyzed in the three groups correlated by size, location and number of fibroids. The total pregnancy rate was 85.8% and no difference was shown regarding myoma classification (G0 82.05% versus G1 87.09% versus G2 88.2%; p = ns). Pregnancy and delivery rates were not significantly related to the number, localization or diameter of the fibroids. The abortion rate was not statistically influenced by myoma type, but it was significantly inter-related with myomas situated in the anterior uterine wall (p = 0.03). Pre-term delivery was significantly influenced by myomas localized in the fundic wall (p = 0.02). Caesarean section rates were not affected by the characteristics of the myomas. Our results support the idea that resectoscopic myomectomy should be offered to infertile women who wish to become pregnant independently of their localization and number.

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Section: Discussioncontrasting

confidence: 75%

Section: Discussionmentioning

confidence: 96%

Pregnancy outcome after hysteroscopic myomectomy

Litta

Conte

Marchi

et al. 2013

Gynecological Endocrinology

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“…The use of the bipolar resectoscope in hysteroscopic removal of small submucous fibroids is shown to be both feasible and effective in controlling menorrhagia and increasing the pregnancy rate in subfertile women, when submucous fibroids are the only known cause of infertility [33].…”

Section: Submucous Fibroidsmentioning

confidence: 99%

Uterine fibroids, management and effect on fertility

Salman

Davis

2010

Current Opinion in Obstetrics &Amp; Gynecology

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“…Makris a publié en 2007 les résultats au long cours d'une cohorte de 59 patientes traitées pour un myome utérin par résection bipolaire hystéroscopique (résectoscope nécessi-tant une dilatation cervicale de 9 mm) [17]. L'étude incluait 59 patientes prises en charge pour des troubles de la fertilité, dont 39 présentaient des ménorragies associées.…”

Section: éNergies Monopolaire Et Bipolaireunclassified