caa a22 4500 445363584 CHVBK 20180317142922.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10397-010-0607-y doi (NATIONALLICENCE)springer-10.1007/s10397-010-0607-y Minimally invasive surgical management of symptomatic uterine cysts [Elektronische Daten] [Atef Darwish, Kamal Zahran, Mohammad Bedaiwi, Mahmoud Zakherah] This study aims to evaluate the feasibility of a minimally invasive access-integrated protocol for aspiration or drainage of symptomatic uterine cysts. The design of the study is a prospective cohort study. The study setting is a tertiary care referral facility and university hospital. Twenty seven women with objective evidence of uterine cysts diagnosed by ultrasonography. The patients underwent transvaginal sonographic diagnosis of uterine cysts at different sites. Cyst aspiration was performed using interventional 2D ultrasonography, hysteroscopy and/or laparoscopy. Follow-up was performed for a maximum of 1year to assess relief of symptoms and the recurrence rate. The main outcome measures of the study are success of aspiration tool, relief of symptoms, and persistence or recurrence rates. Cervical and corporeal uterine cysts were diagnosed in 19 and eight cases respectively. The mean size of the cervical cyst was 2.9 ± 1.21 (1.8-3.7) cm, while that of the uterine cysts was 4.8 ± 1.89 (3.4--6.1) cm. Improved health-related quality of life in the form of relief of deep dyspareunia and excessive vaginal discharge were reported in eight of 12 (66.6%) and 11/14 (78.5%) cases, respectively. Aspiration of symptomatic uterine cysts is technically feasible and achieves acceptable results. Uterine cysts may not be ignored as a potential cause of gynecologic symptoms, however, their precise pathogenesis and related co morbidities including impact on fertility should be substantiated by an adequately powered prospective randomized controlled study. Springer-Verlag, 2010 Uterine cysts nationallicence Ultrasonography nationallicence Laparoscopy nationallicence Hysteroscopy nationallicence Darwish Atef Department of Obstetrics & Gynecology, Woman's Health University Hospital, P.O. Box: (1) Assiut, 71111, Assiut, Egypt aut Zahran Kamal Department of Obstetrics & Gynecology, Woman's Health University Hospital, P.O. Box: (1) Assiut, 71111, Assiut, Egypt aut Bedaiwi Mohammad Department of Obstetrics & Gynecology, Woman's Health University Hospital, P.O. Box: (1) Assiut, 71111, Assiut, Egypt aut Zakherah Mahmoud Department of Obstetrics & Gynecology, Woman's Health University Hospital, P.O. Box: (1) Assiut, 71111, Assiut, Egypt aut Gynecological Surgery Springer-Verlag 8/1(2011-02-01), 19-23 1613-2076 8:1<19 2011 8 10397 https://doi.org/10.1007/s10397-010-0607-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10397-010-0607-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Darwish Atef Department of Obstetrics & Gynecology, Woman's Health University Hospital, P.O. Box: (1) Assiut, 71111, Assiut, Egypt aut NATIONALLICENCE 700 1- Zahran Kamal Department of Obstetrics & Gynecology, Woman's Health University Hospital, P.O. Box: (1) Assiut, 71111, Assiut, Egypt aut NATIONALLICENCE 700 1- Bedaiwi Mohammad Department of Obstetrics & Gynecology, Woman's Health University Hospital, P.O. Box: (1) Assiut, 71111, Assiut, Egypt aut NATIONALLICENCE 700 1- Zakherah Mahmoud Department of Obstetrics & Gynecology, Woman's Health University Hospital, P.O. Box: (1) Assiut, 71111, Assiut, Egypt aut NATIONALLICENCE 773 0- Gynecological Surgery Springer-Verlag 8/1(2011-02-01), 19-23 1613-2076 8:1<19 2011 8 10397 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer