HYSTEROSCOPIC MANAGEMENT OF INTRAUTERINE LESIONS AND INTRACTABLE UTERINE BLEEDING

  • 1 January 1983
    • journal article
    • research article
    • Vol. 61  (3) , 392-397
Abstract
Muellerian fusion defects, submaucous myomas and intractable uterine bleeding were managed traditionally by major surgical intervention. However, the cystoscope-resectoscope provides the operative versatility allowing transvaginal surgical management of these situations. Forty women underwent hysteroscopy and treatment with the cystoscoperesectoscope at the Yale-New Haven Hospital [Connecticut, USA]. Those patients treated for septate muellerian defects also underwent concomitant laparoscopy. Therapeutic surgical use of the cystoscope-resectoscope resulted in no immediate or long-term complications. Of 11 patients with uterine anomalies treated in this fashion, 9 carried to term without difficulty. Fourteen women with space-occupying intrauterine lesions were treated and resumed normal cyclical menses for a minimum of 1 yr. In all 11 patients with intractable uterine bleeding, hemorrhage was controlled immediately and 6 women remained amenorrheic for a sustained period. The use of the cystoscope-resectoscope for the management of these entities provides several advantages: a transcervical approach obviates the necessity for abdominal surgery, and the instrument is rapidly and easily accessible to the practicing gynecologist.

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