Comparing Long-term Symptomatic Leiomyoma Recurrence Rates After Resection Using the Hysteroscopic Morcellator versus Bipolar Resectoscope - PubMed
2 days ago
- #Hysteroscopic Myomectomy
- #Leiomyoma Recurrence
- #Bipolar Resection
- Study compares hysteroscopic mechanical tissue removal system (mTRS) and bipolar resectoscope (BR) for symptomatic leiomyoma recurrence.
- Retrospective cohort study included premenopausal patients with FIGO type 0-2 leiomyomas from 2005-2021.
- 89 patients treated with mTRS and 358 with BR; follow-up mean was 7.1 years.
- Symptomatic recurrence rates: 29.2% (mTRS) vs. 38.5% (BR), no significant difference.
- Hysterectomy rates were similar: 15.7% (mTRS) vs. 22.3% (BR).
- Abnormal uterine bleeding was the most common indication for surgery and hysterectomy.
- No significant difference found in long-term recurrence rates between the two techniques.
- Larger prospective studies or randomized trials needed for definitive conclusions.