Office hysteroscopic early lysis of intrauterine adhesion after transcervical resection of multiple apposing submucous myomas

Jehn Hsiahn Yang, Mei Jou Chen, Ming Yih Wu, Kuang Han Chao, Hong Nerng Ho, Yu Shih Yang

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

Objective: To analyze the prevalence of intrauterine adhesion (IUA) formation in women undergoing transcervical resection (TCR) for submucous myomas. Design: Retrospective cohort study. Setting: Tertiary university hospital. Patient(s): One hundred fifty-three women undergoing TCR for submucous myomas were retrospectively analyzed. Among them, 132 women had a solitary myoma (group 1), 5 had two submucous myomas not in apposition to each other and who received postoperative intrauterine device (IUD) placement (group 2), 9 had two or more apposing submucous myomas and received IUD placement (group 3), and 7 had two or more apposing submucous myomas and who underwent subsequent office hysteroscopic early lysis of IUA (group 4). Intervention(s): Placement of an IUD for 1 month (groups 2 and 3) or office hysteroscopy for early lysis of IUA within 2 weeks after hysteroscopic myomectomy (group 4). Main Outcome Measure(s): Diagnostic office hysteroscopy was done 1-3 months after hysteroscopic myomectomy to evaluate whether there was permanent formation of IUA. Result(s): Two (1.5%) of 132 women in group 1 had IUA. For women receiving IUD placement; none of the 5 women in group 2 and 7 (78%) of 9 women in group 3 had IUA. For women undergoing office hysteroscopic early lysis of adhesion bands (group 4), none of 7 women had IUA. Conclusion(s): Intrauterine adhesion is a common complication after TCR for apposing submucous myomas, but not for a solitary myoma. Office hysteroscopy within 2 weeks after TCR is an easy and effective procedure in separating the newly formed IUA.

Original languageEnglish
Pages (from-to)1254-1259
Number of pages6
JournalFertility and Sterility
Volume89
Issue number5
DOIs
Publication statusPublished - May 1 2008
Externally publishedYes

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Myoma
Intrauterine Devices
Hysteroscopy
Uterine Myomectomy
Tertiary Care Centers
Cohort Studies
Retrospective Studies
Outcome Assessment (Health Care)

Keywords

  • intrauterine adhesion
  • office hysteroscopy
  • Submucous myoma
  • transcervical resection

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cite this

Office hysteroscopic early lysis of intrauterine adhesion after transcervical resection of multiple apposing submucous myomas. / Yang, Jehn Hsiahn; Chen, Mei Jou; Wu, Ming Yih; Chao, Kuang Han; Ho, Hong Nerng; Yang, Yu Shih.

In: Fertility and Sterility, Vol. 89, No. 5, 01.05.2008, p. 1254-1259.

Research output: Contribution to journalArticle

Yang, Jehn Hsiahn ; Chen, Mei Jou ; Wu, Ming Yih ; Chao, Kuang Han ; Ho, Hong Nerng ; Yang, Yu Shih. / Office hysteroscopic early lysis of intrauterine adhesion after transcervical resection of multiple apposing submucous myomas. In: Fertility and Sterility. 2008 ; Vol. 89, No. 5. pp. 1254-1259.
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AU - Ho, Hong Nerng

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AB - Objective: To analyze the prevalence of intrauterine adhesion (IUA) formation in women undergoing transcervical resection (TCR) for submucous myomas. Design: Retrospective cohort study. Setting: Tertiary university hospital. Patient(s): One hundred fifty-three women undergoing TCR for submucous myomas were retrospectively analyzed. Among them, 132 women had a solitary myoma (group 1), 5 had two submucous myomas not in apposition to each other and who received postoperative intrauterine device (IUD) placement (group 2), 9 had two or more apposing submucous myomas and received IUD placement (group 3), and 7 had two or more apposing submucous myomas and who underwent subsequent office hysteroscopic early lysis of IUA (group 4). Intervention(s): Placement of an IUD for 1 month (groups 2 and 3) or office hysteroscopy for early lysis of IUA within 2 weeks after hysteroscopic myomectomy (group 4). Main Outcome Measure(s): Diagnostic office hysteroscopy was done 1-3 months after hysteroscopic myomectomy to evaluate whether there was permanent formation of IUA. Result(s): Two (1.5%) of 132 women in group 1 had IUA. For women receiving IUD placement; none of the 5 women in group 2 and 7 (78%) of 9 women in group 3 had IUA. For women undergoing office hysteroscopic early lysis of adhesion bands (group 4), none of 7 women had IUA. Conclusion(s): Intrauterine adhesion is a common complication after TCR for apposing submucous myomas, but not for a solitary myoma. Office hysteroscopy within 2 weeks after TCR is an easy and effective procedure in separating the newly formed IUA.

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