Uterine myomas: management

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Presentation transcript:

Uterine myomas: management William H. Parker, M.D. Fertility and Sterility Volume 88, Issue 2, Pages 255-271 (August 2007) DOI: 10.1016/j.fertnstert.2007.06.044 Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

FIGURE 1 Hysterectomies for fibroids (percentages vs. patient age in years). Parker. Management of uterine myomas. Fertil Steril 2007. Fertility and Sterility 2007 88, 255-271DOI: (10.1016/j.fertnstert.2007.06.044) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

FIGURE 2 Vascular corrosion casting of myoma blood supply examined by electron microscopy. Reprinted from Walocha JA, Litwin JA, Miodoński AJ, Vascular system of intramural leiomyomata revealed by corrosion casting and scanning electron microscopy, Hum Reproduction 2003, Vol. 18, No 5, pp. 1088–93. © European Society of Human Reproduction and Embryology. Reproduced by permission of Oxford University Press/Human Reprodution. Parker. Management of uterine myomas. Fertil Steril 2007. Fertility and Sterility 2007 88, 255-271DOI: (10.1016/j.fertnstert.2007.06.044) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

FIGURE 3 Classification of submucous myomas based on percentage of myoma within uterine cavity. Reprinted from Fertility and Sterility, Vol. 73, Cohen LS, Valle RF, Role of vaginal sonography and hysterosonography in the endoscopic treatment of uterine myomas, pp 197–204, © 2000, with permission from American Society for Reproductive Medicine. Parker. Management of uterine myomas. Fertil Steril 2007. Fertility and Sterility 2007 88, 255-271DOI: (10.1016/j.fertnstert.2007.06.044) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

FIGURE 4 Overall 10-year recurrence after myomectomy. Reproduced from BJOG Vol. 98, Candiani GB, Fedele L, Parazzini F, Villa L, Risk of recurrence after myomectomy, pp. 385–9, 1991, with the permission of the Royal College of Obstetricians and Gynaecologists. Parker. Management of uterine myomas. Fertil Steril 2007. Fertility and Sterility 2007 88, 255-271DOI: (10.1016/j.fertnstert.2007.06.044) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions