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Clinical and Experimental Obstetrics & Gynecology  2017, Vol. 44 Issue (1): 61-64    DOI: 10.12891/ceog3254.2017
Original Research Previous articles | Next articles
Follow-up study of symptomatic submucous fibroids after hysteroscopic myomectomy
H. Tsujioka1, *(), S. Matsuoka1, S. Sorano1, H. Yamamoto1, S. Nakamura1, A. Tohyama1, T. Fukami1, M. Goto1, R. Matsuoka1, F. Eguchi1
1 Department of Obstetrics and Gynecology, Iizuka Hospital, Iizuka, Japan
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Purpose of investigation: This study aimed to estimate the effectiveness of hysteroscopic myomectomy for symptomatic submucous uterine fibroids and to identify prognostic factors for persistent or recurrent symptoms. Materials and Methods: A total of 237 patients who underwent hysteroscopic myomectomy were divided into three groups according to the classification of the European Society for Gynaecological Endoscopy: Type 0 (n=116), Type I (n=97), and Type II (n=24). Medical records and videotape records of all patients were retrospectively reviewed. Results: Improvement of symptoms was achieved in 100% of Types 0 and I, and 66.7% of Type II. The five-year cumulative symptom-free rates after hysteroscopic myomectomy were 96.7% ± 1.9%, 87.8% ± 6.7%, and 44.5% ± 12.7% in Types 0, I, and II, respectively. The mean symptom-free periods were 46.2 ± 2.6, 47.7 ± 2.7, and 24.7 ± 6.3 months in Types 0, I, and II, respectively. Logistic regression analysis showed that co-existence of other myomas and Type II were independent prognostic factors for recurrence of symptoms. Conclusion: Type I fibroids are a good indication for hysteroscopic myomectomy. In Type II, some patients feel that their symptoms improve, but this curative effect could be temporary.
Key words:  Hysteroscopic myomectomy      Symptomatic submucous fibroid     
Published:  10 February 2017     
*Corresponding Author(s):  H. TSUJIOKA     E-mail:

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H. Tsujioka, S. Matsuoka, S. Sorano, H. Yamamoto, S. Nakamura, A. Tohyama, T. Fukami, M. Goto, R. Matsuoka, F. Eguchi. Follow-up study of symptomatic submucous fibroids after hysteroscopic myomectomy. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(1): 61-64.

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