16 week size fibroid uterus desiring fertility. History of a prior myomectomy.
- Increased urinary frequency
- Pelvic pressure
17 cm uterus with multiple fibroids, large lower uterine segment fibroid
14 week size fibroid uterus
Expectant management (no treatment) or myomectomy. Pre-op Lupron recommended to shrink the large lower uterine segment fibroid
Patient underwent uncomplicated myomectomy through mini-laparotomy incision 3 months following Lupron injection. 6 fibroids removed. Adhesions of uterus to abdominal wall encountered and lysed. Minimal blood loss. Patient discharged on post-op day #1.