J 2020

Early and Late Pregnancy Rate After Myomectomy Among Women with Symptomatic Uterine Fibroids

MARA, Michal, Robert HUDEČEK, Elo OBIEROMAH, Radim MAREK, Jaroslav KLAT et. al.

Basic information

Original name

Early and Late Pregnancy Rate After Myomectomy Among Women with Symptomatic Uterine Fibroids

Authors

MARA, Michal (203 Czech Republic), Robert HUDEČEK (203 Czech Republic, guarantor, belonging to the institution), Elo OBIEROMAH (703 Slovakia), Radim MAREK (203 Czech Republic), Jaroslav KLAT (203 Czech Republic), Peter KASCAK (703 Slovakia), Borek SEHNAL (203 Czech Republic), Zdenka LISA (203 Czech Republic) and Sona PANKOVA (203 Czech Republic)

Edition

The Journal of Reproductive Medicine, Sant Louis, SCI PRINTERS & PUBL INC, 2020, 0024-7758

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30214 Obstetrics and gynaecology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 0.142

RIV identification code

RIV/00216224:14110/20:00115976

Organization unit

Faculty of Medicine

UT WoS

000537344100006

Keywords in English

fertility; infertility; female; laparoscopic myomectomy; leiomyoma; open myomectomy; pregnancy rate; reproductive techniques; uterine fibroids; uterine neoplasms

Tags

International impact, Reviewed
Změněno: 15/7/2020 07:29, Mgr. Tereza Miškechová

Abstract

V originále

OBJECTIVE: To determine the number of spontaneously conceived pregnancies achieved during the first and second year after laparoscopic or open myomectomy. STUDY DESIGN: A multicentric, nonrandomized, prospective clinical study. The study cohort consisted of 392 reproductive-age women with symptomatic intramural uterine fibroids desiring pregnancy who underwent laparoscopic or open myomectomy and were monitored for 2.5 years after surgery. The number and rate of pregnancies during the first and second year after myomectomy were evaluated, and the results between the groups were compared. RESULTS: During a follow-up period of 2.5 years, no significant difference in total pregnancy rate was recorded in the 2 groups. However, a significantly higher early pregnancy rate was observed with the laparoscopic myomectomy group as compared to the early pregnancy rate among the open myomectomy group (60.3% vs. 44.2%, p=0.006), although there was not a significantly higher late pregnancy rate in the open myomectomy group when compared with the late pregnancy rate among the laparoscopic myomectomy group (22.1% vs. 14.5%, p=0.080). CONCLUSION: A significantly higher early pregnancy rate exists among patients following laparoscopic myomectomy when compared to the early pregnancy rate among women after an open myomectomy.