Pregnancy following treatment of symptomatic myomas with laparoscopic bipolar coagulation of uterine vessels

Yi Jen Chen, Peng Hui Wang, Chiou Chung Yuan, Yuan Kuei Yen, Ming Jie Yang, Heung Tat Ng, Sheng Ping Chang, Wei Min Liu

Research output: Contribution to journalArticlepeer-review

42 Citations (Scopus)

Abstract

Background: Laparoscopic bipolar coagulation of uterine vessels (LBCUV) has been employed for women with symptomatic uterine myomas, but its effect on subsequent pregnancy has not been characterized. Methods: Four-hundred and twenty-three women entered the study between March 1999 and December 2001. Of these, 142 women (33.6%) were under the age of 40 years at the time of LBCUV, 36 of whom (36/142, 25.3%) were sexually active without contraception. In a prospective study of 142 patients (3 before and after LBCUV respectively. Volume of the dominant myoma after pregnancy was 46.2 ± 76.7 cm3 (mean ± SD). There was a significant difference in myoma volume before and after LBCUV (P = 0. 002), but no significant difference in myoma volume when comparing post-partum size with post-LBCUV size (P = 0.269). Pregnancy outcomes included seven miscarriages in the first trimester and one premature rupture of membrane (PPROM). Although the other pregnancies were regarded as uncomplicated, only two women were delivered of normal neonates as the other seven pregnancies were terminated secondary to patient request. Conclusions: The pregnancy and term pregnancy rates in sexually active women without contraception were 41.6% (15/36) and 5.6% (2/36) respectively. Because a relatively high rate (7/17, 41.2%) of early miscarriages was observed, we recommend that this procedure be employed only for women who do not desire additional children.

Original languageEnglish
Pages (from-to)1077-1081
Number of pages5
JournalHuman Reproduction
Volume18
Issue number5
DOIs
Publication statusPublished - May 1 2003

Keywords

  • Laparoscopic bipolar coagulation of uterine vessels
  • Laparoscopic surgery
  • Myoma
  • Pregnancy

ASJC Scopus subject areas

  • Physiology
  • Developmental Biology
  • Obstetrics and Gynaecology
  • Reproductive Medicine

Fingerprint Dive into the research topics of 'Pregnancy following treatment of symptomatic myomas with laparoscopic bipolar coagulation of uterine vessels'. Together they form a unique fingerprint.

Cite this