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.