Myometrial scoring: a new technique for the management of severe XXXX .

@entity1 @entity2208 @entity249 @entity548 @entity16164 @entity2371 @entity2589 @entity5862 @entity2588
OBJECTIVE: To describe a new hysteroscopic technique for the management of severe @entity5862 . DESIGN: Prospective observational study. SETTING: Volunteers in an academic research environment. @entity1 (S): Seven @entity1 with secondary @entity249 associated with @entity2588 or @entity2589 secondary to severe @entity5862 . INTERVENTION(S): Six to eight longitudinal incisions were made into the myometrium extending from the uterine fundus to the isthmus with a resectoscope fitted with a Collins knife electrode. MAIN OUTCOME MEASURE(S): Restoration of menses, symptomatic relief, and postoperative reproductive performance. RESULT(S): The amount of @entity548 increased in all cases, including two @entity1 who were amenorrheic before their surgery. @entity2371 decreased in two of the four symptomatic cases. Three to four months after surgery, hysteroscopy showed a normal sized uterine cavity in five cases. After a median follow-up of 12 months, three @entity1 conceived four pregnancies, including a @entity16164 , a @entity2208 , an ongoing pregnancy currently at 7 weeks' gestation, and one @entity1 delivered at 36 weeks gestation after premature rupture of the membranes. CONCLUSION(S): Hysteroscopic myometrial scoring enlarges uterine cavity size in cases of severe @entity5862 and improves menstrual function. Reproductive performance seems to be improved also, but longer follow-up is required.
