Uterine myomas, the most common benign, solid, pelvic tumors in women, occur in 20%-40% of women in their reproductive years and form the most common indication for hysterectomy. Various factors affect the choice of the best treatment modality for a given patient. Asymptomatic myomas may be managed by reassurance and careful follow up. Medical therapy should be tried as a first line of treatmen...

We report the case of a second gesture, second parity 42-year old patient, undergoing surgical treatment for interstitial uterine myoma. The postoperative course was marked by a skin infection associated with uterine eventration. On physical examination, the patient was febrile (39.5 °C) with evisceration of the uterus and green pus discharge from the surgical site. Laboratory tests showed a he...

OBJECTIVE To estimate the safety and efficacy of laparoscopic ultrasound-guided radiofrequency volumetric thermal ablation of uterine myomas in symptomatic women. METHODS A cohort of 135 premenopausal symptomatic women with uterine myomas, uteri 14 weeks of gestation-sized or less with no single myoma exceeding 7 cm, and objectively confirmed heavy menstrual bleeding participated in this pros...

Introduction: Uterine arteriovenous malformations (AVMs) are one of the causes of potential severe genital hemorrhages. Acquired AVMs are considered iatrogenic and mainly diagnosed after pregnancy termination and/ or uterine surgery. The diagnosis is based on ultrasound, computed tomography, magnetic resonance imaging and angiography. Uterine artery embolization and hysterectomy represent the c...

Background: According to age, history and physical examination findings, there are different diagnoses including anatomic lesions for abnormal uterine bleeding (AUB). In these conditions, hysteroscopy can be performed as a diagnostic and therapeutic procedure. Objective: The aim of this study was defining the diagnostic value of hysteroscopy in evaluating uterine cavity in patients with AUB com...

Uterine artery embolization (UAE) is popular in some countries for management of postpartum hemorrhage, uterine myoma, and adenomyosis. However, avoidance of complications is important to preserve the uterus. The most serious complication is premature ovarian failure. UAE is advantageous for preserving the uterus for fertility; however, premature ovarian failure negates this advantage by causin...

Uterine artery embolization can be regarded as a less invasive procedure for the treatment of fibroids compared with myomectomy, hysterectomy, and laparoscopic myolysis. The aim of this study was the evaluation of safety and efficacy of uterine artery embolization and of womens' opinion about this treatment. After gynecological examination sixty-nine premenopausal women underwent uterine artery...

The puerperal uterine inversion is a rare and severe complication occurring in the third stage of labour. The mechanisms are not completely known. However, extrinsic factors such as oxytocic arrests after a prolonged labour, umbilical cord traction or abdominal expression are pointed. Other intrinsic factors such as primiparity, uterine hypotonia, various placental localizations, fundic myoma o...

OBJECTIVE To evaluate the safety of cesarean myomectomy in large myomas sized >5 cm. METHODS One hundred sixty-five pregnant women with myomas who delivered via cesarean section were identified. Ninety-six women had cesarean section without myomectomy, and 65 women underwent cesarean myomectomy. We compared the maternal characteristics, neonatal weight, myoma types, and operative outcomes bet...