Hysteroscopic myomectomy : experience at King Hussein Medical Center

Abstract EN

Objective : to study the efficacy and safety of hysteroscopic myomectomy in a group of patients referred to our center.

Methods : eighty three patients underwent hysteroscopic myomectomy at King Hussein Medical Center between March 2009 and August 2013 and followed up for 2 years.

Those women had been referred to King Hussein Medical center with various symptoms attributable to uterine fibroids.

All patients were between 30 and 52 years.

All patients had trans-abdominal (TA) and trans-vaginal (TV) ultrasound scans.

Diagnosis was confirmed at hysteroscopy.

Results : forty five patients presented with heavy menstrual bleeding as the only symptom.

Sixteen patients had heavy and irregular uterine bleeding.

Ten patients had dysmenorrhoea.

Twelve patients had normal periods but diagnosed coincidentaly to have uterine fibroids either as part of infertility investigation or during routine check up.

Among those patients, 73.4% (61 patients) had type 0 submucous fibroids, 12% (10 patients) had type one and 14.4% (12 patients) had type 2 fibroid.

At two years follow up, 43 patients (95.5%) who presented with heavy menstrual bleeding were satisfied with their periods and requested no further intervention.

Of those who presented with heavy and irregular uterine bleeding, 10 patients (62.5%) were cured and the remaining 6 patients opted for either endometrial ablation or hysterectomy.

Only 2 patients with dysmenorrhoea (20%), were satisfied with the hysteroscopic myomectomy.

The remaining 80% requested hysterectomy for their symptoms.

Among the asymptomatic group, 10 patients were lost for follow up and the remaining 2 patients (16.6%) were content and asymptomatic.

The overall complication rate was 6% (5 patients); one patient had fluid overload, 2 patients had bleeding and two patients had cervical laceration