What is the Success Rate After Surgery Other Than Hysterectomy?
In women undergoing myomectomy for infertility, a large review of the published data found a pregnancy rate of 40-60%, the majority conceiving in the first year after treatment. Where myomectomy is performed for heavy periods, an 80% success rate is reported. Fibroid recurrence rate at 10 years was 27% in a 1991 review of 622 patients. Hysteroscopic resection is a more recently developed procedure and long-term follow-up of large numbers of women is not available yet. Studies published so far demonstrate an 80-90% success rate for surgery performed for heavy periods, with around 17% requiring a second operation in the following 10 years (similar to myomectomy). Pregnancy rates following resection of submucous fibroids where this is the only cause of infertility are high, at 60-70%.
