Gynecology and Minimally Invasive Therapy

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 7  |  Issue : 4  |  Page : 152--155

Utility of laparoscopic uterine myomectomy as a treatment for infertility with no obvious cause except for uterine fibroids


Satomi Kameda1, Masafumi Toyoshima2, Kohei Tanaka4, Osamu Fujii4, Shu-Ichi Iida4, Nobuo Yaegashi2, Takashi Murakami3, Kazuhiko Hoshi5 
1 Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, Sendai; Department of Obstetrics and Gynecology, Suzuki Memorial Hospital, Iwanuma, Miyagi, Japan
2 Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, Sendai, Japan
3 Department of Obstetrics and Gynecology, Shiga University of Medical Science, Shiga, Japan

Correspondence Address:
Dr. Masafumi Toyoshima
Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 1-1, Seiryo, Aoba, Sendai 980-8574
Japan

Objectives: Uterine fibroids are capable of causing infertility, but there are no definite criteria for which laparoscopic uterine myomectomy (LM) is known to be beneficial. To investigate the usefulness of LM, we examined pregnancy rates in patients with infertility with no obvious cause except for the presence of uterine fibroids. Materials and Methods: We retrospectively reviewed the clinical records at Suzuki Memorial Hospital between June 2010 and August 2014. We found 60 eligible patients (LM group, 46; non-LM group, 14). The criteria for performing LM were a maximal fibroid diameter of 40 mm or more or the presence of >4 fibroids. Results: The duration of infertility before the first visit was significantly longer in the LM group; although there was no significant difference in the mean patient age and body mass index. Pregnancy was achieved in 45.7% of patients (21/46) in the LM group and 28.6% (4/14) in the non-LM group. There were no pregnancies in patients with >10 fibroids. The postoperative pregnancy rate in the LM group was comparable to previously reported pregnancy rates. Conclusions: Our criteria for performing LM in patients with no obvious cause for infertility except for uterine fibroids seem appropriate, especially when the fibroids are large and the number of fibroids is between 4 and 9. However, our results suggest that the effectiveness of LM is low in patients with 10 or more uterine fibroids.


How to cite this article:
Kameda S, Toyoshima M, Tanaka K, Fujii O, Iida SI, Yaegashi N, Murakami T, Hoshi K. Utility of laparoscopic uterine myomectomy as a treatment for infertility with no obvious cause except for uterine fibroids.Gynecol Minim Invasive Ther 2018;7:152-155


How to cite this URL:
Kameda S, Toyoshima M, Tanaka K, Fujii O, Iida SI, Yaegashi N, Murakami T, Hoshi K. Utility of laparoscopic uterine myomectomy as a treatment for infertility with no obvious cause except for uterine fibroids. Gynecol Minim Invasive Ther [serial online] 2018 [cited 2019 Mar 22 ];7:152-155
Available from: http://www.e-gmit.com/article.asp?issn=2213-3070;year=2018;volume=7;issue=4;spage=152;epage=155;aulast=Kameda;type=0