Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
6169053 | Best Practice & Research Clinical Obstetrics & Gynaecology | 2016 | 7 Pages |
Abstract
Most women with uterine myoma are asymptomatic and do not require any treatment. However, myoma can also lead to menorrhagia, pressure symptoms, abdominal pain, and infertility. Management of symptomatic women with myoma depends on several factors, including age, desire for fertility, and myoma characteristics. Uterine myoma that distorts the uterine cavity, either submucous myoma or intramural myoma, with a submucous component reduces fertility, and is associated with increased uterine bleeding. The treatment of choice is hysteroscopic myomectomy or abdominal myomectomy, preferably by laparoscopy. Robotic assistance in laparoscopic myomectomy leads to outcomes similar to conventional laparoscopic myomectomy. However, it is expensive. Newer techniques include either laparoscopic or transcervical radiofrequency thermal ablation.
Keywords
Related Topics
Health Sciences
Medicine and Dentistry
Obstetrics, Gynecology and Women's Health
Authors
Francois (Fellow of Minimally Invasive Gynecologic Surgery), Togas (Professor of Obstetrics and Gynecology, and Milton Leong Chair in Reproductive Medicine),