30-week size fibroid uterus not desiring fertility.
- Heavy, irregular vaginal bleeding
- Increased urinary frequency
- Abdominal distension
- Pelvic pain
30+ cm uterus with multiple fibroids
30+ week size fibroid uterus
Expectant management (no treatment), myomectomy, supracervical hysterectomy (SCH).
She received Lupron pre-op to shrink uterus and increase hemoglobin. Patient underwent uncomplicated supracervical hysterectomy (SCH) through mini-laparotomy incision. Multiple fibroids removed to debulk uterus prior to removing uterus. Minimal blood loss. Patient discharged on post-op day #1.