40-year-old woman
18-week size fibroid uterus not desiring fertility, but desiring uterine preservation.
Symptoms
- Increased urinary frequency
- Pelvic pain
Ultrasound
- Uterus with multiple fibroids.
Examination
- 18-week size fibroid uterus
Recommendations
- Expectant management (no treatment), UFE, myomectomy, hysterectomy.
Treatment
- Patient underwent uncomplicated myomectomy via mini-lap incision. Multiple fibroids removed 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