TITLE:
Hysteroscopic Resection of Submucous Fibroids in Abidjan: A 10-Year Retrospective Cohort Study
AUTHORS:
Stephane Adjoussou, Privat Akobe, Ramata Kouakou-Kouraogo, Fulgence Kouamé, Marcel Ettien, Rosemonde Kouakou, Mamourou Koné
KEYWORDS:
Submucous Fibroid-Hysteroscopy-Infertility-AUB-Resection
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.7,
July
27,
2026
ABSTRACT: Objective: The objective of this study is to report our experience with the hysteroscopic management of submucous fibroids in Abidjan (Côte d’Ivoire). Materials and Methods: This is a retrospective descriptive cohort study conducted in Abidjan at a private medical clinic over a 10-year period, involving a series of 80 patients who underwent hysteroscopic resection of submucous fibroids. Results: The mean age of our patients was 38.4 years, with a mean gravidity of 1.9 and an average parity of 0.7. Our patients presented with abnormal uterine bleeding (AUB) in 57.5% of cases and were infertile in 63.8% of cases. Diagnostic hysteroscopy revealed 102 fibroids, which were single in 75% of cases and located predominantly anteriorly (38.3%) and posteriorly (26.5%). The average size of the fibroids was 24.7 mm, and most were type 1 (47.1%). The average resection time was 38.2 minutes, and the complication rate was 3.75%. The length of hospital stay was less than 24 hours in 90% of cases. A second-look hysteroscopy, which was performed in 60% of patients, revealed a normal uterine cavity in 93.8% of cases. Abnormal uterine bleeding was corrected in 70.2% of cases. We observed 15 pregnancies following operative hysteroscopy in infertile patients, representing a pregnancy rate of 29.4%. Conclusion: Operative hysteroscopy is a simple, safe, effective, and reproducible minimally invasive technique for the resection of submucous fibroids. It allows for satisfactory anatomical and functional results.