[Seven-year-experience in the hysteroresection of submucous myomas].

AIM OF THE RESEARCH: to summarize the results of hysteroscopic resections of submucous myomas, performed in the last 7 years in our clinic and to compare the results with those cited in the literature. MATERIAL AND METHODS: 124 women at the age of (from) 24 to 66 years were operated, 63 of them (50.6%) were under 40 years and 42 women (33.9%) were nulliparous. The main complaints were abnormal uterine bleedings, pains and reproductive problems. RESULTS: 142 submucous myomas were resected. The mean diameter was 32.15 mm (from 5 to 55 mm); 8 myomas were 50 mm and more in diameter. The mean operational time was 33.4 min. The intraoperative complications were 3.2% (4 cases)--2 cases of bleeding and 2 cases of uterine perforation. Hospital stay--89 women (71.8%) were dehospitalized 24 hours after the operation and the other 32 women (28.2%)--8 hours after the operation. The postoperative follow-up included: 97 women--to 6 months, 83 women--to 1 year, 65 women--to 2 years and 31 women--to 3 years. The abnormal uterine bleedings disappeared in 100% of the cases which were followed up to 6 months. After 3 years 7 women, out of 31 observed, had abnormal bleeding; 5 women underwent hysterectomies because of intramural myomas, atypical endometrial hyperplasia, endometrial cancer, uterine prolapse. Eight of the women (47.0%) with reproductive problems became pregnant and 5 of them have already given birth (one of them--twice). The operative time, complications, postoperative hospital stay and the effect on the clinical symptoms were similar to those cited in the literature. CONCLUSION: The results of the study confirmed the advantages and the excellent potentialities of the hysteroscopy in the treatment of the submucous myomas. The method is extremely atraumatic, organ-preserving and highly effective in the elimination of the clinical symptoms. For this reason hysteroscopy should be the method of choice for treatment of the submucous myomas.