Fertility and Symptom Relief following Robot-Assisted Laparoscopic Myomectomy
View/ Open
Author
Pitter, Michael C.
Kardos, Leslie
Seshadri-Kreaden, Usha
Hubert, Helen B.
Weitzman, Glenn A.
Published Version
https://doi.org/10.1155/2015/967568Metadata
Show full item recordCitation
Pitter, Michael C., Serene S. Srouji, Antonio R. Gargiulo, Leslie Kardos, Usha Seshadri-Kreaden, Helen B. Hubert, and Glenn A. Weitzman. 2015. “Fertility and Symptom Relief following Robot-Assisted Laparoscopic Myomectomy.” Obstetrics and Gynecology International 2015 (1): 967568. doi:10.1155/2015/967568. http://dx.doi.org/10.1155/2015/967568.Abstract
Objective:. To examine success of robot-assisted laparoscopic myomectomy (RALM) measured by sustained symptom relief and fertility. Methods:. This is a retrospective survey of 426 women who underwent RALM for fibroids, symptom relief, or infertility at three practice sites across the US. We examined rates of symptom recurrence and pregnancy and factors associated with these outcomes. Results:. Overall, 70% of women reported being symptom-free, with 62.9% free of symptoms after three years. At >3 years, 66.7% of women who underwent surgery to treat infertility and 80% who were also symptom-free reported achieving pregnancy. Factors independently associated with symptom recurrence included greater time after surgery, preoperative dyspareunia, multiple fibroid surgeries, smoking after surgery, and preexisting diabetes. Factors positively correlated with achieving pregnancy included desiring pregnancy, prior pregnancy, greater time since surgery, and Caucasian race. Factors negatively correlated with pregnancy were advanced age and symptom recurrence. Conclusions:. This paper, the first to examine symptom recurrence after RALM, demonstrates both short- and long-term effectiveness in providing symptom relief. Furthermore, RALM may have the potential to improve the chance of conception, even in a population at high risk of subfertility, with greater benefits among those who remain symptom-free. These findings require prospective validation.Other Sources
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4417601/pdf/Terms of Use
This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAACitable link to this page
http://nrs.harvard.edu/urn-3:HUL.InstRepos:16121013
Collections
- HMS Scholarly Articles [17922]
Contact administrator regarding this item (to report mistakes or request changes)