J. Steller et al., RATE OF RECURRENCE AND PREGNANCIES AFTER MYOMECTOMY WHILE PRESERVING THE UTERUS, Geburtshilfe und Frauenheilkunde, 57(7), 1997, pp. 383-387
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.