aginally, sometimes with a laparoscope?Advantages: 100% Curative, No risk of future cancer, Well established procedure?Disadvantages: major surgery with potential plications: ureteral injury, infection, adhesions (scarring), loss of child bearing ?potential: emotional ? sexual ?Р2017/11/27Р9РMYOMECTOMYРIndividual fibroids are resected through an abdominal incision or sometimes with a laparoscope or hysteroscope??Advantages: Fertility can be preserved , well established procedure, less invasive if laparoscopic or hysteroscopicР2017/11/27Р10РMYOMECTOMY DISADVANTAGESРPotential plications as with hysterectomy??Only part of uterus is treated and recurrence can occur??15 to 25 % need repeat procedure usually hysterectomy??Not all fibroids amenable to myomectomy??Adhesions can lead to infertility
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