Results of Hysteroscopic Myomectomy for the Treatment of Abnormal Uterine Bleeding: A Retrospective Study

Julia F. van der Meulen*, Julia J. Spaan, Sjors F. P. J. Coppus, Peggy M. A. J. Geomini, Marlies Y. Bongers

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Web of Science)

Abstract

Objective: The aims of this study were to establish surgical reintervention rate and patient satisfaction after hysteroscopic myomectomy and to identify predictive factors for surgical reintervention. Materials and Methods: This was a single-center retrospective cohort study of 104 women undergoing hysteroscopic myomectomy with a bipolar resectoscope for the treatment of abnormal uterine bleeding (AUB) between January 2010 and December 2012. The primary outcome of this study was need for surgical reintervention because of recurrence of AUB. Univariate and multivariate Cox regression analyses were performed to identify predictive factors for surgical reintervention. Results: The mean follow-up was 30.7 months (range: 1-56 months). Surgical reintervention was performed in 32 women (30.8%). Seventeen women (16.3%) underwent hysterectomy. The patient satisfaction rate was 68.1%, and 75.6% of the women stated that their AUB was reduced after surgery. In the univariate analysis, presence of intramural fibroids, fibroid size >30mm, and incomplete resection were significantly associated with the risk of surgical reintervention. In the multivariate analysis, presence of intramural fibroids remained significantly correlated with the risk of surgical reintervention. The complication rate was 5.1%. Conclusion: This study showed that hysteroscopic myomectomy is an effective procedure to treat AUB. Women with coexistent intramural fibroids should be counseled that there is a higher risk of surgical reintervention. (J GYNECOL SURG 20XX:000)

Original languageEnglish
Pages (from-to)290-294
Number of pages5
JournalJournal of Gynecologic Surgery
Volume34
Issue number6
DOIs
Publication statusPublished - 2 Oct 2018

Keywords

  • hysteroscopic myomectomy
  • bipolar resectoscope
  • surgical reintervention
  • patient satisfaction
  • FOLLOW-UP
  • MENSTRUAL DISORDERS
  • TERM
  • COMPLICATIONS
  • FIBROIDS
  • SYSTEM
  • WOMEN

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