42-year-old woman
16-week-size fibroid uterus not desiring fertility.
Symptoms
- Heavy, irregular vaginal bleeding
- Increased urinary frequency
- Pelvic pain
Prior treatments
Failed treatment with Mirena IUD and oral contraceptive pills (OCPs)
Ultrasound
10 cm central fibroid
Examination
16-week-size fibroid uterus
Recommendations
Expectant management (no treatment), Uterine Fibroid Embolization (UFE), myomectomy, supracervical hysterectomy (SCH).
Treatment
Patient underwent uncomplicated supracervical hysterectomy (SCH) through mini-laparotomy incision. Large central fibroid removed to debulk uterus prior to removing uterus. Minimal blood loss. Patient discharged on post-op day #1.