[Management of myoma: what is the place for hysterectomy and how to perform it?].

Abstract

Hysterectomy is the most effective treatment for symptomatic myoma with no possible recurrence. Hysterectomy for myoma is associated with a high rate of patient satisfaction (95%). Quality of life is globally improved by hysterectomy, as is sexuality with less pelvic pain, asthenia, urinary symptoms and impaired mental health. Vaginal and laparoscopic routes should be preferred to diminish blood loss, hospital stay and postoperative pain. Patients with hysterectomy are at twice as much risk of requiring surgical treatment for incontinence later on. Stress urinary incontinence must be looked for during the preoperative history-taking.

• Authors: Géraldine Giraudet, Julien Niro, Jean-Philippe Lucot, Pierre Panel
• Journal: Presse medicale (Paris, France : 1983) (Presse Med) 2013 Jul-Aug Vol. 42 Issue 7-8 Pg. 1133-7 ISSN: 2213-0276 [Electronic] France
• Vernacular Title: Traitement des myomes : quelle est la place de l'hystérectomie et selon quelle technique ?
• PMID: 23582149 (Publication Type: English Abstract, Journal Article)
• Copyright: Copyright © 2013 Elsevier Masson SAS. All rights reserved.

Topics

• Female
• Humans
• Hysterectomy (adverse effects, methods)
• Hysterectomy, Vaginal (adverse effects, methods)
• Laparoscopy (adverse effects, methods)
• Leiomyoma (surgery)
• Length of Stay
• Myoma (surgery)
• Patient Satisfaction
• Quality of Life
• Treatment Outcome
• Urinary Incontinence, Stress (etiology)
• Uterine Neoplasms (surgery)