HomeArchiveVolume 6Volume 6, issue 2Uterine submucosal leiomyomas: modern diagnosis and miniinvasive surgery

Oana Denisa Balalau1,2, Mihai-George Loghin1,2, Sabin Vasilache1, Octavian Gabriel Olaru1,2, Ioana Paunica1, Ileana Maria Conea1,2

1CAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, BUCHAREST, ROMANIA
2BUCUR MATERNITY, ST. JOHN CLINICAL EMERGENCY HOSPITAL, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, BUCHAREST, ROMANIA

Abstract

Uterine leiomyomatosis is one of the most common benign pelvic tumors diagnosed in women aged 25-44 years. Clinically, it is manifested by vaginal bleeding, pelvic pain, infertility, digestive and urinary symptoms. The diagnosis of uterine fibroids requires careful clinical and paraclinical evaluation. Based on these data, the therapeutic decision is conducted in most cases. The treatment of uterine leiomyomatosis involves several procedures, such as: total abdominal hystectomy, total vaginal hystectomy, abdominal myomectomy, vaginal, laparoscopic or hysteroscopic myomectomy. Hysteroscopic myomectomy is currently the preferred procedure for submucosal fibroids. It has multiple advantages: shorter recovery time, reduced pain related to movements, shorter duration procedure and fewer risks. The procedure has few contraindications. The most common complication is recurrence. The treatment of choice for prolapsed pedunculated submucous leiomyoma is vaginal myomectomy. As described, the procedure has multiple advantages and generally has a low recurrence rate.