Skip to main content
SpringerLink
Log in

Vaginal removal of prolapsed pedunculated submucous myoma: a short, simple, and definitive procedure with minimal morbidity

  • Original Article
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Objective

Our objective was to evaluate the outcome of vaginal removal of prolapsed pedunculated submucous myomas over a 10-year period.

Study design

Retrospective observational study. Fifty-two patients were admitted with the diagnosis of prolapsed pedunculated submucous myoma. Six patients were excluded because of an a priori decision for abdominal hysterectomy. In 46 patients an attempt for vaginal myomectomy under general anesthesia was done.

Results

Vaginal myomectomy was successful in 44 patients (95.6%). There were no immediate complications. Histological diagnosis of leiomyoma was confirmed in 34 cases (73.9%) and in the remainders intrauterine pathology was endometrial polyp. Total abdominal hysterectomy was performed in additional 6 patients (13.7%) 3 months to 5 years following vaginal myomectomy.

Conclusions

Vaginal myomectomy is the treatment of choice for prolapsed pedunculated submucous myoma. The associated morbidity is minimal.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Ben-Baruch G, Schiff E, Menashe Y, Menczer J (1988) Immediate and late outcome of vaginal myomectomy for prolapsed pedunculated submucous myoma. Obstet Gynecol 72:858–861

    CAS  PubMed  Google Scholar 

  2. Brooks GG, Stage AH (1975) The surgical management of prolapsed pedunculated submucous leiomyomas. Surg Gynecol Obstet 141:397–398

    CAS  PubMed  Google Scholar 

  3. Caspi B, Appelman Z, Goldchmit R, Ashkenazi M, Haruvy Y, Hagay Z (2000) The bright edge of the endometrial polyp. Ultrasound Obstet Gynecol 15:327–330

    Article  CAS  PubMed  Google Scholar 

  4. Dicker D, Feldberg D, Dekel A, Yeshaya A, Samuel N, Goldman JA (1986) The management of prolapsed submucous fibroids. Aust NZ J Obstet Gynaecol 26:308–311

    CAS  Google Scholar 

  5. Fauconnier A, Chapron C, Babaki-Fard K, Dubuisson JB (2000) Recurrence of leiomyomata after myomectomy. Hum Reprod Update 6:595–602

    CAS  PubMed  Google Scholar 

  6. Gimpelson RJ (2000) Hysteroscopic treatment of the patient with intracavitory pathology (myomectomy/polypectomy). Obstet Gynecol Clin N Am 27:327–337

    CAS  Google Scholar 

  7. Goldrath MH (1990) Vaginal removal of the pedunculated submucous myoma: historical observation and development of new procedure. J Reprod Med 35:921–924

    CAS  PubMed  Google Scholar 

  8. Goldstein SR (1996) Saline infusion sonohysterography. Clin Obstet Gynecol 39:248–258

    Article  CAS  PubMed  Google Scholar 

  9. Riley P (1982) Treatment of prolapsed submucous fibroids. S Afr Med J 62:22–24

    Google Scholar 

  10. Sikazwe NC (1994) Prolapsed pedunculated sub-mucous uterine fibroleiomyomata at the university teaching hospital, Lusaka. Centr Afr J Med 40:192–194

    CAS  Google Scholar 

  11. Thompson JD, Rock JA (1997) Leiomyomata uteri and myomectomy. In: Thompson JD, Rock JA (ed) The Linde’s operative gynecology, 8th edn. Lippincott-Raven, New York, pp 731–770

  12. Walzer MD, Flynn E, Koenigsberg M (1983) Sonographic appearance of a prolapsing submucous leiomyoma. J Clin Ultrasound 11:101–102

    CAS  PubMed  Google Scholar 

  13. Wamsteker K, de Kuif J (1993) Transcervical hysteroscopic resection of submucous fibroids for abnormal uterine bleeding: results regarding the degree of intramural extension. Obstet Gynecol 82:736–740

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon, Israel

    Abraham Golan, Nariman Zachalka, Samuel Lurie, Ron Sagiv & Marek Glezerman

  2. Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

    Abraham Golan, Nariman Zachalka, Samuel Lurie, Ron Sagiv & Marek Glezerman

Authors
  1. Abraham Golan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nariman Zachalka
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Samuel Lurie
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ron Sagiv
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Marek Glezerman
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Samuel Lurie.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Golan, A., Zachalka, N., Lurie, S. et al. Vaginal removal of prolapsed pedunculated submucous myoma: a short, simple, and definitive procedure with minimal morbidity. Arch Gynecol Obstet 271, 11–13 (2005). https://doi.org/10.1007/s00404-003-0590-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-003-0590-x

Keywords

Search

Navigation