Fertility and Symptom Relief following Robot-Assisted Laparoscopic Myomectomy.

摘要: Objective. To examine success of robot-assisted laparoscopic myomectomy (RALM) measured by sustained symptom relief and fertility. Methods. This is a retrospective survey 426 women who underwent RALM for fibroids, relief, or infertility at three practice sites across the US. We examined rates recurrence pregnancy factors associated with these outcomes. Results. Overall, 70% reported being symptom-free, 62.9% free symptoms after years. At >3 years, 66.7% surgery to treat 80% were also symptom-free achieving pregnancy. Factors independently included greater time surgery, preoperative dyspareunia, multiple fibroid surgeries, smoking preexisting diabetes. positively correlated desiring pregnancy, prior since Caucasian race. negatively advanced age recurrence. Conclusions. paper, first RALM, demonstrates both short- long-term effectiveness in providing relief. Furthermore, may have potential improve chance conception, even population high risk subfertility, benefits among those remain symptom-free. These findings require prospective validation.