Document Detail

Hysteroscopic removal of submucous leiomyomas.
MedLine Citation:
PMID:  10149756     Owner:  NLM     Status:  MEDLINE    
Uterine leiomyomas are benign neoplasms that, when symptomatic, may require surgical treatment. The most symptomatic leiomyomas are of the submucous variety, causing persistent or recurrent uterine bleeding. Fifty-nine women experiencing abnormal uterine bleeding, dysmenorrhea, and/or infertility were diagnosed to have submucous leiomyomas, and of these, 52 were treated by hysteroscopic removal. In all women treated, the symptoms disappeared or markedly decreased. Of 16 patients with associated infertility, 10 conceived and 8 of these delivered a viable infant vaginally. Two women had a spontaneous abortion at 6 weeks and 11 weeks gestation, respectively. Although hysteroscopic removal of submucous leiomyomas is feasible in some patients, specific criteria for patient selection are needed that will allow the hysteroscopist to avoid failures and prevent complications. Hysteroscopy offers the best diagnostic method to detect or confirm submucous leiomyomas and, in selected cases, provides a good surgical alternative for treatment.
R F Valle
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of gynecologic surgery     Volume:  6     ISSN:  1042-4067     ISO Abbreviation:  J Gynecol Surg     Publication Date:  1990  
Date Detail:
Created Date:  1992-08-27     Completed Date:  1992-08-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9000936     Medline TA:  J Gynecol Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  89-96     Citation Subset:  T    
Department of Obstetrics and Gynecology, Northwestern University Medical School, Chicago, Illinois.
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MeSH Terms
Hysteroscopy / methods*
Infertility, Female / etiology,  surgery
Leiomyoma / complications,  diagnosis,  surgery*
Middle Aged
Uterine Neoplasms / complications,  diagnosis,  surgery*

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