Myomectomy: indications, results of surgery and relation to fertility
Chong, R.K.; Thong, P.H.; Tan, S.L.; Thong, P.W.; Salmon, Y.M.
Singapore Medical Journal 29(1): 35-37
1988
ISSN/ISBN: 0037-5675 PMID: 3406762 Document Number: 308655
Eight-one patients who had myomectomy in the B unit, Kandang Kerbau Hospital Singapore, were reviewed. Their mean age was 33.6 years and the racial composition of the group reflected that of the general population. Sixty percent of the patients were nulliparous and the main indications for surgery were menorrhagia, a large pelvic mass and infertility. There were no major post-operative complications. Eighty-nine per cent of the patients with menorrhagia and 66.7 per cent of those with dysmenorrhoea had relief of symptoms after myomectomy. Twenty-eight per cent of the subfertile women conceived within 17 months of surgery. Comparison between those subfertile women who conceived after surgery with those who did not, revealed that the former were younger, had fewer fibroids and had a shorter duration of infertility. On the other hand, submucous fibroids were more common in those who did not conceive. Of the 81 patients, 8.1 per cent had recurrence of fibroids. One patient had a repeat myomectomy and 1 subsequently required a hysterectomy.