Resectoscopic Resection of a Large Submucous Uterine Myoma

Autores

  • Gonçalo Inocêncio Centro Hospitalar do Porto
  • António Braga Centro Hospitalar do Porto
  • Ana Galvão Centro Hospitalar do Porto
  • Rosa Zulmira Centro Hospitalar do Porto

DOI:

https://doi.org/10.25748/arp.13657

Resumo

Submucous myoma(s) can decrease the chances of a spontaneous conception and, therefore, be a cause of reproductive failure.

There are many different methods for submucous myoma(s) treatment. The choice for the best treatment approach should take into account the characteristics of the myoma: the size, number (single or multiple), location and its relationship with the myometrium/uterine cavity; Also, the age of the woman and her desire for procreation have great influence when choosing the best treatment method.

The intrauterine endoscopic techniques are currently widely used and considered minimally invasive surgical procedures.

We present a case of a 32-year-old nulliparous woman, attempting to get pregnant, who was diagnosed with a large submucous uterine myoma. A successful resection, of a 5,8 cm greater diameter submucous myoma, was made by resectoscopic surgery.

Biografias Autor

Gonçalo Inocêncio, Centro Hospitalar do Porto

Serviço de Ginecologia e Obstetrícia, Departamento da Mulher e da Medicina

António Braga, Centro Hospitalar do Porto

Serviço de Ginecologia e Obstetrícia, Departamento da Mulher e da Medicina

Ana Galvão, Centro Hospitalar do Porto

Serviço de Ginecologia e Obstetrícia, Departamento da Mulher e da Medicina

Rosa Zulmira, Centro Hospitalar do Porto

Coordenadora da Cirurgia Ginecológica em Ambulatório (Centro Integrado de Cirurgia de Ambulatório do Porto-CICA)

Referências

- Fernandez, H.; Sefrioui, O.; Virelizier, C. et al. - Hysteroscopic resection of submucosal ûbroids in patients with infertility. Hum Reprod, 2001, 16:1489-1492.

- Valle, R. F.; Baggish, M. S. - Hysteroscopic myomectomy. Hysteroscopy. Visual Perspectives of Uterine Anatomy, Physiology and Pathology Diagnostic and Operative Hysteroscopy, 3rd edn. Philadelphia: Lippincott Williams & Wilkins, a Wolters Kluwer business, 2007, 385-404.

- Ubaldi, F.; Tournaye, H.; Camus, M. et al. - Fertility after hysteroscopic myomectomy. Hum Reprod Update, 1995, 1:81-90.

- Sutton, C. - Hysteroscopic surgery. Best Pract Res Clin Obstet Gynaecol, 2006, 20:105-137.

- Salim, R.; Lee, C.; Davies, A. et al. - A comparative study of three-dimensional saline infusion sonohysterography and diagnostic hysteroscopy for the classification of Submucous fibroids. Hum Reprod, 2005, 20:253-57.

- Campo, S.; Campo, V.; Gambadauro, P. - Short-term and long-term results of resectoscopic myomectomy with and without pretreatment with GnRH analogs in premenopausal women. Acta Obstet Gynecol Scand, 2005, 84:756-760.

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Publicado

2014-08-30

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