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Removal of Large Symptomatic Intrauterine Growths by the Hysteroscopic Resectoscope
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1990
Year
HysteroscopyFertilityReproductive HealthGynecologyInfertility PatientsOperative Vaginal DeliverySurgeryMenstrual CycleAbnormal BleedingFemale InfertilityObstetricsReproductive MedicineExcessive BleedingPublic HealthInfertilityUterine FibroidsGynecologic EndoscopyHysteroscopic ResectoscopeGynecologic SurgeryPostpartum HemorrhageGynecological SurgeryMedicine
Large intrauterine growths such as submucous myomas and endometrial polyps commonly present with menorrhagia, menometrorrhagia, heavy postmenopausal bleeding, or infertility. Fifty‑three hysteroscopic resections were performed with a resectoscope, and 45 patients were followed for more than one year. Bleeding was controlled in 93 % of women, infertility treatment resulted in live births in 58 % of affected patients, and no major complications occurred, although 9 % required hysterectomy and some underwent repeat procedures. Obstet Gynecol 76:836, 1990.
Fifty-three patients underwent 55 procedures with a resectoscope for the removal of large symptomatic intrauterine growths. The presenting complaint was menorrhagia, menometrorrhagia, or heavy postmenopausal bleeding in 38 patients; excessive menses plus infertility in 13 patients; and infertility alone in two patients. Forty-three patients had pedunculated or sessile submucous myomas and ten patients had large endometrial polyps. The long-term results are based on 45 patients followed for longer than 1 year. Excessive bleeding was controlled in 40 of the 43 women (93%). Failure to control abnormal bleeding was apparent within the first year. Seven of the 12 infertility patients (58%) delivered live-born infants. Five patients have undergone subsequent hysterectomies (9%). Two patients had repeat resectoscopic removal of myomas and two had subsequent non-resectoscope myomectomies. No major complications were encountered. (Obstet Gynecol 76:836, 1990)