Abstract
Uterine fibroids are benign smooth muscle tumors that are found in at least 20% of women over age 30 years. The incidence of fibroids increases with age until the time of menopause. Fibroids may be identified in up to 50% of nulliparous women at the age of 50 years.1 Most women with uterine leiomyomata are asymptomatic. Symptoms that may be attributed to myomas include pelvic pain, pelvic pressure, urinary frequency as a result of direct compression of the bladder, constipation or tenesmus as a result of compression of the colon, abdominal bloating, or abnormal uterine bleeding. Submucous myomas or large intramural myomas may be associated with recurrent pregnancy loss and infertility.
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References
Entman SS. Uterine leiomyoma and adenomyosis. In: Jones HW, III, Wentz AC, Burnett LS, eds. Novak’s Textbook of Gynecology. 11th ed. Baltimore: Williams and Wilkins; 1988:443–454.
Monroe SE, Andreyko J. Treatment of uterine leiomyomas and hirsutism with nafarelin. J Reprod Med. 1989;34:1029–1033.
Schlaff WD, Zerhouni EA, Huth JAM, et al. A placebo-controlled trial of depot gonadotropinreleasing hormone analog (leuprolide) in the treatment of uterine leiomyomata. Obstet Gynecol. 1989;74:856–862.
Rock JA, Murphy AA. Anatomie abnormalities. Clin Obstet Gynecol. 1986;29:886–911.
Murphy AA. Operative laparoscopy. Fertil Steril. 1987;47:1–18.
Semm K, Mettler L. Technical progress in pelvic surgery via operative laparoscopy. Am J Obstet Gynecol. 1980;138:121–127.
Gordon AG, Lewis BV, eds. Gynecological Endoscopy. Philadelphia: JB Lippincott; 1988:8.9–8.10.
Neuwirth RS, Amin HK. Excision of submueous fibroids with hysteroscopic control. Am J Obstet Gynecol. 1976;126:95–99.
Buttram VC Jr, Reiter RC. Uterine leiomyomata: etiology, symptomatology, and management. Fertil Steril. 1981;36:433–445.
March CM. Hysteroscopic resection of submueous myomas. Contemp Obstet Gynecol. 1990;35:59–66.
Donnez J, Schrurs B, Gillerot S, Sandow J, Clercks F. Treatment of uterine fibroids with implants of gonadotropin-releasing hormone agonist: assessment by hysterography. Fertil Steril. 1989;51:947–950.
Zbella EA, Moise J, Carson SA. Noncardiogenic pulmonary edema secondary to intrauterine Instillation of 32% dextran 70. Fertil Steril. 1985;43:479–480.
Brooks PG, Loffer FD, Serden SP. Resectoscopic removal of symptomatic intrauterine lesions. J Reprod Med. 1989;34:435–437.
DeCherney A, Polan ML. Hysteroscopic management of intrauterine lesions and intractable uterine bleeding. Obstet Gynecol. 1983;61:392–397.
Hallez JP, Netter A, Cartier R. Methodical intrauterine resection. Am J Obstet Gynecol. 1987;156:1080–1084.
Neuwirth RS. Hysteroscopic management of symptomatic submueous fibroids. Obstet Gynecol. 1983;62:509–511.
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© 1992 Springer-Verlag New York, Inc.
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Hurst, B.S., Schlaff, W.D. (1992). Laparoscopic and Hysteroscopic Myomectomy. In: Azziz, R., Murphy, A.A. (eds) Practical Manual of Operative Laparoscopy and Hysteroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-0430-2_13
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DOI: https://doi.org/10.1007/978-1-4684-0430-2_13
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