RATE OF RECURRENCE AND PREGNANCIES AFTER MYOMECTOMY WHILE PRESERVING THE UTERUS

130 patients who had been myomectomised while preserving the uterus, a t the Department of Gynaecology and Obstetrics, Philipps-University Ma rburg, between January 1985 and December 1993, were post-examined with regard to subsequent pregnancies and the risk of recurrence. 76 women mentioned the desire for children as indication for the operation, wh ile preserving the organ. 34 patients indicated that family planning h ad not yet been finalised. In ao patients, psychic reasons were predom inant. 51 patients (39.2%) developed a recurrent myoma in almost 80% o f all cases within the first two and a half years after myomectomy The age of the patient at the moment of the surgical intervention did not influence a subsequent recidivation, nor could we discover a correlat ion between size, position or localisation of the uterine myoma node a nd rate of recurrence. However, a significant increase in the recurren ce rate was observed depending on the number of myomas removed. Recurr ence was diagnosed in 60.6% of the cases after enucleation of more tha n three myoma nodes. 59.2% of the patients with desire for children be came pregnant after myomectomy, 60% conceived within the first year af ter the intervention. The abortion rate (miscarriages as well as extra uterine gravities) amounted to 31.6%. The chance to become pregnant de creased, the older the patient was at the time of operation. A pretrea tment with GnRHa influenced neither the recurrency rate, nor the time of development of recurrence, nor the frequency and course of pregnanc ies.