Outcome of hysteroscopic resection of submucous myomas for infertility

Objective: To examine the reproductive outcome after operative hysteroscopic resection of submucous myomas in women for whom no other infertility factor was identified. Design: Fifteen infertile women with submucous myomas underwent an intensive workup to exclude other causes of infertility. Operative hysteroscopy for resection of the submucous myomas was performed using a rigid 26 French resectoscope (Karl Storz GmbH and Co., Tuttlingen, Germany). Setting: Academic tertiary referral center. Results: The mean ± SD duration of the procedure was 25.5 ± 5.6 minutes. No operative or postoperative complications occurred and all patients were discharged within 6 hours. The follow-up period was 12.0 ± 4.2 months (mean ± SD). Seven women conceived (pregnancy rate of 47%) and six of them subsequently delivered at term. Conclusion: The results of this study indicate that operative hysteroscopy achieved a pregnancy rate comparable to myomectomy via laparotomy. These results suggest that operative hysteroscopy is the procedure of choice for the resection of submucous myomas in infertile women.