Intraoperative injection of prostaglandin F2alpha in a patient undergoing hysteroscopic myomectomy.

Abstract

OBJECTIVE:

To present a case of one-step total hysteroscopic myomectomy using prostaglandin F(2alpha).

DESIGN:

Case report.

SETTING:

University hospital.

PATIENT(S):

A 38-year-old woman with a sessile submucous leiomyoma.

INTERVENTION(S):

Hysteroresectoscopy using an intraoperative injection of prostaglandin F(2alpha) under laparoscopic monitoring.

MAIN OUTCOME MEASURES:

Endoscopic appearance, clinical symptoms, and imaging diagnosis.

RESULT(S):

After resection of the protruding portion of the myoma, injection of prostaglandin F(2alpha) was used to cause the remnant to project into the uterine cavity, allowing complete removal.

CONCLUSION(S):

Intraoperative use of prostaglandin F(2alpha) may allow one-step hysteroresectoscopy of a sessile submucous leiomyoma.

• Authors: Takashi Murakami, Takao Shimizu, Atsuko Katahira, Yukihiro Terada, Rei Yokomizo, Rui Sawada
• Journal: Fertility and sterility (Fertil Steril) Vol. 79 Issue 6 Pg. 1439-41 (Jun 2003) ISSN: 0015-0282 [Print] United States
• PMID: 12798895 (Publication Type: Case Reports, Journal Article)

Chemical References

• Dinoprost

Topics

• Adult
• Dinoprost (administration & dosage)
• Female
• Gynecologic Surgical Procedures (methods)
• Humans
• Hysteroscopy
• Injections
• Leiomyoma (surgery)
• Uterine Neoplasms (surgery)