Background/Aims. To compare long-termfertility and bleeding outcomes of women who underwent robotic-assisted, laparoscopic,\nand abdominal myomectomy at our institution over a 15-year period. Methods. This was a retrospective cohort study of\nmyomectomy patients 18ââ?¬â??39 years old that had surgery between January 1995 and December 2009 at our institution. Long-term\nfollow-up on fertility and bleeding outcomes was collected fromthe patient directly. The uterine fibroid symptom and quality of life\nsurvey was also administered to assess current bleeding patterns. Baseline characteristics were compared across groups.Univariable\ncomparisons of fertility and bleeding outcomes based on surgical approach were made using analysis of variance, Kruskal-Wallis\nanalysis of ranks, and Chi-square tests as appropriate. Results. 134/374 (36%) subjects agreed to participate in the study. 81 subjects\nunderwent an open procedure versus 28 and 25 subjects in the laparoscopic and robotic groups, respectively.Median follow-up after\nsurgery was 8 years. 50% of patients desired pregnancy following surgery and, of those, 60% achieved spontaneous pregnancy; the\nspontaneous pregnancy rate did not differ between groups. Additionally, UFS-QOL scores and/or subscores did not differ between\ngroups. Conclusion.There is no significant difference in long-term bleeding or fertility outcomes in robotic-assisted, laparoscopic,\nor abdominal myomectomy.
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