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 language | English |
|---|---|
| Pages (from-to) | 1254-1259 |
| Number of pages | 6 |
| Journal | Fertility and Sterility |
| Volume | 89 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - May 1 2008 |
| Externally published | Yes |
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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 journal › Article
}
TY - JOUR
T1 - Office hysteroscopic early lysis of intrauterine adhesion after transcervical resection of multiple apposing submucous myomas
AU - Yang, Jehn Hsiahn
AU - Chen, Mei Jou
AU - Wu, Ming Yih
AU - Chao, Kuang Han
AU - Ho, Hong Nerng
AU - Yang, Yu Shih
PY - 2008/5/1
Y1 - 2008/5/1
N2 - 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.
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.
KW - intrauterine adhesion
KW - office hysteroscopy
KW - Submucous myoma
KW - transcervical resection
UR - http://www.scopus.com/inward/record.url?scp=43449102481&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=43449102481&partnerID=8YFLogxK
U2 - 10.1016/j.fertnstert.2007.05.027
DO - 10.1016/j.fertnstert.2007.05.027
M3 - Article
C2 - 17686478
AN - SCOPUS:43449102481
VL - 89
SP - 1254
EP - 1259
JO - Fertility and Sterility
JF - Fertility and Sterility
SN - 0015-0282
IS - 5
ER -