{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T21:49:18Z","timestamp":1774648158676,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,1,22]],"date-time":"2018-01-22T00:00:00Z","timestamp":1516579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Intrauterine hysteroscopic morcellators have been studied as an alternative method for removing submucosal leiomyomas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To assess the long\u2010term efficacy of hysteroscopic morcellation of submucosal leiomyomas in women with abnormal uterine bleeding (<jats:styled-content style=\"fixed-case\">AUB<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We conducted a prospective cohort study including all women with <jats:styled-content style=\"fixed-case\">AUB<\/jats:styled-content> who underwent a hysteroscopic resection with mechanical morcellation of a benign submucosal leiomyoma confirmed at histopathology. Need for further surgery, patient satisfaction, symptom resolution and post\u2010operative complications were documented by direct patient contact after a minimum of six months of follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 73 women were included in the study with a mean length of follow\u2010up of 32\u00a0\u00b1\u00a013\u00a0months. Mean total size of pathology at the time of index surgery was of 42\u00a0\u00b1\u00a020\u00a0mm. A total of 9\/73 (12%) women required subsequent hysterectomy and 20\/73 (27%) any subsequent related surgery (operative hysteroscopy, abdominal myomectomy or hysterectomy) with the estimated three\u2010year cumulative incidence being 30\u00a0\u00b1\u00a06%. Satisfaction rate of participants was 84%. In multivariate Cox proportional analyses, only a total size of pathology of 50\u00a0mm or more was found to be significantly associated with the risk of requiring further surgical procedures (hazard ratio\u00a0=\u00a02.9, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Hysteroscopic morcellation of submucosal leiomyomas is an effective method to manage women with <jats:styled-content style=\"fixed-case\">AUB<\/jats:styled-content>, although women with larger pathology have an increased risk of requiring subsequent surgical procedures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12781","type":"journal-article","created":{"date-parts":[[2018,1,22]],"date-time":"2018-01-22T15:32:53Z","timestamp":1516635173000},"page":"570-575","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The need for further surgical 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