Transcervical resection of myoma (TCRM): Part I
Uterine fibroids occur frequently in women during the reproductive age, and they are rarely associated with clinical meaning because of their benign characteristics and asymptomatic clinical presentation. Sometimes, uterine fibroids are symptomatic and associated with compression syndrome, infertili...
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Elsevier
2025-01-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455924003164 |
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| author | Peng-Hui Wang Szu-Ting Yang Wen-Hsun Chang Hung-Hsien Liu Wen-Ling Lee |
| author_facet | Peng-Hui Wang Szu-Ting Yang Wen-Hsun Chang Hung-Hsien Liu Wen-Ling Lee |
| author_sort | Peng-Hui Wang |
| collection | DOAJ |
| description | Uterine fibroids occur frequently in women during the reproductive age, and they are rarely associated with clinical meaning because of their benign characteristics and asymptomatic clinical presentation. Sometimes, uterine fibroids are symptomatic and associated with compression syndrome, infertility, chronic pelvic pain and heavy menstrual bleeding. All need further intervention and treatment. Medication is often preferred and frequently applied but symptom-control rate is varied, resulting the need of further active treatment. An effective but minimally invasive procedure such as surgery is sometimes used as back up strategy in the management of women with no response to medical treatment. Additionally, fertility-sparing or uterus-preservation is the main goal and becomes very popular in both physicians and patients. Conservative surgical treatment can be made according to myoma location. Simply, myoma is classified as submucosal, intramural and subserous types. However, to offer a practical standardized consensus for the description and categorization of myomas, the International Federation of Gynaecology & Obstetrics (FIGO) classification system from type 0 to type 8 is established, which is often used for guiding patient management and offering prognostic information, because submucosal myoma (FIGO type 0, 1, probable 2, and possible 3) is frequently associated with symptoms or signs, needing a further intervention. Transcervical resection of myoma (TCRM, also called as hysteroscopic myomectomy: HM) is the treatment of choice for submucosal myoma, and this increased trend is secondary to its nearly non-trauma in nature, even compared to other MIS, such as mini-laparotomy and laparoscopic or robotic approach. Although TCRM is becoming more and more popular in modern clinical practice, the risks and limitations of TCRM are often overlooked. In this review as part I, we will focus on the rationale, efficacy, complication, and limitation of using TCRM in the management of women with symptomatic uterine fibroids. Under the well-training and carefully performing TCRM, TCRM not only provides the less traumatic injury to the uterus, but also offers an effective and safe strategy in dealing with symptomatic submucosal myoma. |
| format | Article |
| id | doaj-art-9cd525314199498080c08715f9dec62f |
| institution | Kabale University |
| issn | 1028-4559 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj-art-9cd525314199498080c08715f9dec62f2025-01-09T06:12:59ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592025-01-016412733Transcervical resection of myoma (TCRM): Part IPeng-Hui Wang0Szu-Ting Yang1Wen-Hsun Chang2Hung-Hsien Liu3Wen-Ling Lee4Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Female Cancer Foundation, Taipei, Taiwan; Department of Medical Research, China Medical University Hospital, Taichung, Taiwan; Corresponding author. Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, 201 Section 2, Shih-Pai Road, Taipei 11217, Taiwan.Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Nursing, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Medical Imaging and Intervention, Tucheng Hospital, New Taipei City, TaiwanInstitute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Medicine, Cheng-Hsin General Hospital, Taipei, Taiwan; Corresponding author. Department of Medicine, Cheng-Hsin General Hospital, Taipei, Taiwan.Uterine fibroids occur frequently in women during the reproductive age, and they are rarely associated with clinical meaning because of their benign characteristics and asymptomatic clinical presentation. Sometimes, uterine fibroids are symptomatic and associated with compression syndrome, infertility, chronic pelvic pain and heavy menstrual bleeding. All need further intervention and treatment. Medication is often preferred and frequently applied but symptom-control rate is varied, resulting the need of further active treatment. An effective but minimally invasive procedure such as surgery is sometimes used as back up strategy in the management of women with no response to medical treatment. Additionally, fertility-sparing or uterus-preservation is the main goal and becomes very popular in both physicians and patients. Conservative surgical treatment can be made according to myoma location. Simply, myoma is classified as submucosal, intramural and subserous types. However, to offer a practical standardized consensus for the description and categorization of myomas, the International Federation of Gynaecology & Obstetrics (FIGO) classification system from type 0 to type 8 is established, which is often used for guiding patient management and offering prognostic information, because submucosal myoma (FIGO type 0, 1, probable 2, and possible 3) is frequently associated with symptoms or signs, needing a further intervention. Transcervical resection of myoma (TCRM, also called as hysteroscopic myomectomy: HM) is the treatment of choice for submucosal myoma, and this increased trend is secondary to its nearly non-trauma in nature, even compared to other MIS, such as mini-laparotomy and laparoscopic or robotic approach. Although TCRM is becoming more and more popular in modern clinical practice, the risks and limitations of TCRM are often overlooked. In this review as part I, we will focus on the rationale, efficacy, complication, and limitation of using TCRM in the management of women with symptomatic uterine fibroids. Under the well-training and carefully performing TCRM, TCRM not only provides the less traumatic injury to the uterus, but also offers an effective and safe strategy in dealing with symptomatic submucosal myoma.http://www.sciencedirect.com/science/article/pii/S1028455924003164ComplicationHysteroscopic myomectomyTranscervical resection of myomaUterine fibroids |
| spellingShingle | Peng-Hui Wang Szu-Ting Yang Wen-Hsun Chang Hung-Hsien Liu Wen-Ling Lee Transcervical resection of myoma (TCRM): Part I Taiwanese Journal of Obstetrics & Gynecology Complication Hysteroscopic myomectomy Transcervical resection of myoma Uterine fibroids |
| title | Transcervical resection of myoma (TCRM): Part I |
| title_full | Transcervical resection of myoma (TCRM): Part I |
| title_fullStr | Transcervical resection of myoma (TCRM): Part I |
| title_full_unstemmed | Transcervical resection of myoma (TCRM): Part I |
| title_short | Transcervical resection of myoma (TCRM): Part I |
| title_sort | transcervical resection of myoma tcrm part i |
| topic | Complication Hysteroscopic myomectomy Transcervical resection of myoma Uterine fibroids |
| url | http://www.sciencedirect.com/science/article/pii/S1028455924003164 |
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