Fertility and Symptom Relief following Robot-Assisted Laparoscopic Myomectomy
Table 1
Patient characteristics at myomectomy.
Characteristics
Group 1a
Group 2b
Group 3c
Total
Number of patients
Age at myomectomy, yrs
42.5 ± 5.0d
36.5 ± 5.5
38.0 ± 4.9
37.9 ± 5.8
Smoking prior to surgery, (%)
16 (19.8)
40 (14.3)
13 (20.6)
69 (16.3)
Preexisting conditions, (%)e
36 (45.0)
131 (47.1)
24 (38.1)
191 (45.4)
Anemia
15 (18.8)
65 (23.4)
8 (12.7)
88 (20.9)
Endometriosis
10 (12.5)
38 (13.7)
8 (12.7)
56 (13.3)
Hypertension
13 (16.3)
22 (7.9)
3 (4.8)
38 (9.0)
Diabetes
1 (1.3)
8 (2.9)
1 (1.6)
10 (2.4)
Heart disease
0
0
0
0
Other
6 (7.5)
13 (4.7)
4 (6.3)
23 (5.5)
Reasons for seeking treatment, (%)e
Fibroids
68 (82.9)
249 (88.6)
52 (82.5)
369 (86.6)
Excessive menstrual bleeding
49 (59.8)
148 (52.7)
23 (36.5)
220 (51.6)
Pain/pressure
40 (48.8)
152 (54.1)
16 (25.4)
208 (48.8)
Frequent urination
22 (26.8)
62 (22.1)
3 (4.8)
87 (20.4)
Infertility
2 (2.4)
40 (14.2)
38 (60.3)
80 (18.8)
Painful intercourse
18 (22.0)
57 (20.3)
5 (7.9)
80 (18.8)
Endometriosis
8 (9.8)
35 (12.5)
7 (11.1)
50 (11.7)
Ovarian cyst
6 (7.3)
21 (7.5)
4 (6.3)
31 (7.3)
Other
1 (1.2)
1 (.4)
0
2 (.5)
Symptoms with fibroids, (%)e
Excessive menstrual bleeding
39 (57.4)
131 (52.6)
22 (42.3)
192 (52.0)
Pain/pressure
32 (47.1)
130 (52.2)
15 (28.9)
177 (48.0)
Infertility
1 (1.5)
36 (14.5)
31 (59.6)
68 (18.4)
Bleeding and pain
24 (35.3)
84 (33.7)
11 (21.2)
119 (32.2)
Bleeding, pain, and infertility
0
14 (5.6)
7 (14.1)
21 (5.7)
None of these
11 (16.2)
56 (22.5)
12 (23.1)
79 (21.4)
≥2 fibroid surgeries, (%)
11 (13.4)
42 (14.9)
9 (14.3)
62 (14.6)
Prior pregnancy, (%)
56 (68.3)
143 (50.9)
29 (46.0)
228 (53.5)
Attempted but did not achieve pregnancy, (%)
12/58 (20.7)
73/163 (44.8)
24/34 (70.6)
109/255 (42.8)
Outcomes of prior pregnancies, (%)e
Vaginal delivery ≥ 1
29 (51.8)
42 (29.4)
4 (13.8)
75 (32.9)
C-section ≥ 1
14 (25.0)
41 (28.7)
10 (34.5)
65 (28.5)
Miscarriage ≥ 1
8 (14.3)
58 (40.6)
17 (58.6)
83 (36.4)
Ectopic ≥ 1
1 (1.8)
4 (2.8)
2 (6.9)
7 (3.0)
Prior infertility treatments, (%)
8/56 (14.3)
20/162 (12.3)
9/34 (26.5)
37/252 (14.7)
aGroup 1 = desire to treat symptoms with no intention of becoming pregnant. bGroup 2 = desire to treat symptoms and preserve ability to get pregnant in the future. cGroup 3 = desire to improve current chance of pregnancy after myomectomy. dData are mean ± standard deviation unless stated otherwise. eData not mutually exclusive.
