gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Hysteroscopic treatment of uterine submucous myomas


Author(s): Beata Śpiewankiewicz, Anna Lewicka, Agnieszka Timorek, Beata Osuch, Robert Piórkowski

Introduction: Submucous myomas are the cause of abnormal bleeding, as well as problems with conception or with carrying to term. Hysteroscopic resection enables removal of those tumors with organ preservation, what is especially valuable in case of young women. Material and methods: 167 patients with age between 19 to 70 years old (mean 44,5 years old), who had hysteroscopy because of uterine submucous myomas. We analyzed: patients age in the moment of myoma recognition, age of the first menstruation, character of menses with their profusion, obstetrics history, body mass index, number and diameter of resected lesions. Results: Menorrhagia occurred in 84% of patients, moderate menstruation in 16% . Anaemia, in the history or during admission to hospital, was found in 27,3% of cases. In analyzed material age of the first menstruation was 13,6 years. The most frequent group - 65,1% were patients with normal or low body mass index. Overweight occurred in 22,8% of cases, while obesity in 12,1%. During hysteroscopy, predominatingly, in 81,6%, single submucous myomas were removed, more than two in 6% of women. Most often resected myomas fill out almost whole uterine cavity, and their diameter were 3cm and above (61,1%). Smaller lesions with diameter 1cm and 2cm occurred adequately in 16% and 23% of cases. Conclusions: Myomas can occur in whole women’s life, but their symptoms, which are indication to surgical treatment, are found in case of patients between 41 and 55 years old. The most common complaint presented by patients with submucous myomas were profuse menstruation (84%), which in 27,3% of cases caused anaemia. In analyzed population of women body mass index and age of the first menstruation had not influenced submucous myomas development. Symptomatic submucous myomas in 81,7% of cases were isolated lesions.