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Utility of Laparoscopic Uterine Myomectomy as a Treatment for Infertility with No Obvious Cause Except for Uterine Fibroids

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...

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Autores principales: Kameda, Satomi, Toyoshima, Masafumi, Tanaka, Kohei, Fujii, Osamu, Iida, Shu-Ichi, Yaegashi, Nobuo, Murakami, Takashi, Hoshi, Kazuhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172875/
https://www.ncbi.nlm.nih.gov/pubmed/30306033
http://dx.doi.org/10.4103/GMIT.GMIT_2_18
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author Kameda, Satomi
Toyoshima, Masafumi
Tanaka, Kohei
Fujii, Osamu
Iida, Shu-Ichi
Yaegashi, Nobuo
Murakami, Takashi
Hoshi, Kazuhiko
author_facet Kameda, Satomi
Toyoshima, Masafumi
Tanaka, Kohei
Fujii, Osamu
Iida, Shu-Ichi
Yaegashi, Nobuo
Murakami, Takashi
Hoshi, Kazuhiko
author_sort Kameda, Satomi
collection PubMed
description 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.
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spelling pubmed-61728752018-10-10 Utility of Laparoscopic Uterine Myomectomy as a Treatment for Infertility with No Obvious Cause Except for Uterine Fibroids Kameda, Satomi Toyoshima, Masafumi Tanaka, Kohei Fujii, Osamu Iida, Shu-Ichi Yaegashi, Nobuo Murakami, Takashi Hoshi, Kazuhiko Gynecol Minim Invasive Ther Original Article 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. Medknow Publications & Media Pvt Ltd 2018 2018-09-26 /pmc/articles/PMC6172875/ /pubmed/30306033 http://dx.doi.org/10.4103/GMIT.GMIT_2_18 Text en Copyright: © 2018 Gynecology and Minimally Invasive Therapy http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Kameda, Satomi
Toyoshima, Masafumi
Tanaka, Kohei
Fujii, Osamu
Iida, Shu-Ichi
Yaegashi, Nobuo
Murakami, Takashi
Hoshi, Kazuhiko
Utility of Laparoscopic Uterine Myomectomy as a Treatment for Infertility with No Obvious Cause Except for Uterine Fibroids
title Utility of Laparoscopic Uterine Myomectomy as a Treatment for Infertility with No Obvious Cause Except for Uterine Fibroids
title_full Utility of Laparoscopic Uterine Myomectomy as a Treatment for Infertility with No Obvious Cause Except for Uterine Fibroids
title_fullStr Utility of Laparoscopic Uterine Myomectomy as a Treatment for Infertility with No Obvious Cause Except for Uterine Fibroids
title_full_unstemmed Utility of Laparoscopic Uterine Myomectomy as a Treatment for Infertility with No Obvious Cause Except for Uterine Fibroids
title_short Utility of Laparoscopic Uterine Myomectomy as a Treatment for Infertility with No Obvious Cause Except for Uterine Fibroids
title_sort utility of laparoscopic uterine myomectomy as a treatment for infertility with no obvious cause except for uterine fibroids
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172875/
https://www.ncbi.nlm.nih.gov/pubmed/30306033
http://dx.doi.org/10.4103/GMIT.GMIT_2_18
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