Uterine fibroids are the most common form of benign uterine tumors. Clinical presentations include abnormal bleeding, pelvic masses, pelvic pain, infertility, bulk symptoms, and obstetric complications. One-third of women with leiomyomas will request treatment due to symptoms.
Current management strategies mainly involve surgical interventions, but the choice of treatment is guided by the patient’s age and the desire to preserve fertility or avoid surgery such as hysterectomy. The management of uterine fibroids also depends on the number, size, and location of fibroids as well as techniques available. There is general consensus that hysteroscopy is the current gold standard for evaluation and treatment of intrauterine pathology, including submucous myomas. Hysteroscopy in the outpatient setting appears to have an accuracy and acceptability of the patient equivalent to hospital hysteroscopy under general anesthesia. The economic impact of uterine fibroid management is significant, so new alternatives are necessary to promote and improve office myomectomy.
The main objective of this chapter is to provide a high quality literature review on office myomectomy. The chapter includes an in-depth analysis of the treatment of fibroids, techniques for office myomectomy, and discussion about the limits of the hysteroscopy approach for removing the submucous myoma.
Uterine fibroids Leiomyomas Surgery therapy Hysteroscopy Myomectomy Office myomectomy Limits
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