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The surgical treatment of uterine fibroids represents an important column in the therapy of this disease. Aim of this study was to find out preoperative factors that influence the treatment success of a minimal-invasive surgical -therapy.In a retrospective study 228 patients were assessed. Measures comprised questions on the decision for surgery, satisfaction with the treatment, and the EQ-5D as a measure of QoL.The sample revealed an overall satisfaction with treatment and high QoL. A better postoperative contentment and QoL in patients who felt well informed about the surgical methods and who felt secure with their decision for a specific surgery was found.Regardless of the surgical method, the preoperative consultation and the certainty of the decision turned out to be determinants of the patients' postoperative contentment and QoL. The counseling gynecologist has an essential part in the patients' decision for the treatment., (© Georg Thieme Verlag KG Stuttgart · New York.)

The subject "fertility and cancer" becomes increasingly important due to a steadily improving of survival rates of young patients. It is essential for patients being informed about possible consequences of their cancer disease and required medical care concerning a prospective parenthood. Any loss of fertility implies an additional devastating burden and rearrangement of the concept of life regarding to family planning. A transparent conversation about carefully considered treatment options of fertility preservation should be offered to the patients. Expertise on the part of oncologists about possible risks and a good physician-patient-communication are indispensable. Today fertility preserving strategies are available for females and males and could symbolise a bridge in the future. Prospective parenthood plays an important role for cancer patients. For using all opportunities of fertility preserving strategies offered to every patient, a close cooperation between oncologists and specialists in reproductive medicine is needed., (© Georg Thieme Verlag KG Stuttgart · New York.)