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Die endoskopische versus die offen-chirurgische Myomenukleation

  • J. Hucke
  • U. Füllers
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Zusammenfassung

Leiomyome sind die häufigsten gutartigen Tumoren des weiblichen Genitales. Sie entstehen unter östrogeneinfluss, sodass sie vor der Me-narche praktisch nie auftreten und nach der Menopause-falls auf eine Hormonersatztherapie verzichtet wird-meist wieder schrumpfen. Etwa 20-25% der Frauen über 35 Jahre haben myömatose Veranderungen der Gebärmutter.

Es gibt keine charakteristischen Symptome, die eindeutig auf das Vorhandensein eines Myomes hinweisen. Die Symptomatik hängt ab von der Größe, der Lage und der Anzahl der Myomknoten. Symptome, die auftreten können, sind Blutungsstörungen, meist Menorrhagien, Schmerzen, Dysmenorrhoe, Sterilität und Infertilät und abdominales Druckgefühl (Blase, Rektum, Harnleiter). Etwa 20% der Myomträgerinnen sind beschwerdefrei.

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© Springer-Verlag Berlin Heidelberg 2002

Authors and Affiliations

  • J. Hucke
  • U. Füllers

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