32-year-old woman
14-week size fibroid uterus desiring fertility.
Symptoms
- Heavy menses
- Increased urinary frequency
- Dyspareunia (painful intercourse)
- Infertility
Ultrasound
- Uterus with multiple fibroids distorting endometrial cavity.
Examination
- 14 week size fibroid uterus
Recommendations
- Expectant management (no treatment) or myomectomy.
Treatment
- Patient underwent uncomplicated myomectomy via mini-lap incision. Multiple fibroids removed to debulk uterus. Minimal blood loss. Patient discharged on post-op day #1.
Goldberg morcellation technique to remove central potato sized fibroid distorting endometrial cavity through mini-laparotomy incision
Fibroids removed