33-year-old-woman
15-week size fibroid uterus not desiring fertility. Prior vaginal deliveries. One prior pelvic surgery.
Symptoms
- Heavy menses
- Increased urinary frequency
- Dyspareunia (painful intercourse)
Ultrasound
- Uterus with multiple fibroids
Examination
- 15-week size fibroid uterus
Recommendations
- Expectant management (no treatment), UFE, myomectomy, vaginal hysterectomy.
Treatment
- Patient underwent uncomplicated vaginal hysterectomy. Multiple fibroids removed vaginally 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