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Obstetrics & Gynecology 1988;72:858-861
© 1988 by The American College of Obstetricians and Gynecologists
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Immediate and Late Outcome of Vaginal Myomectomy for Prolapsed Pedunculated Submucous Myoma

G. BEN-BARUCH, MD, E. SCHIFF, MD, Y. MENASHE, MD and J. MENCZER, MD

From the Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Stickier School of Medicine, Tel Aviv University, Israel.

During a 10-year period, vaginal myomectomy was attempted in 46 women with a symptomatic prolapsed pedunculated submucous myoma. The procedure was successful in 43 and failed in three patients, necessitating an abdominal operation. Vaginal myomectomy for this condition was simple and quick, and the postoperative course was usually uneventful. Only 8.8% of 34 patients with a median follow-up of 5.5 years required a repeat vaginal myomectomy, and only 5.9% needed a hysterectomy. Vaginal myomectomy is recommended as the initial treatment of choice for prolapsed pedunculated submucous myoma, except in those cases in which other indications necessitate an abdominal approach.




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