@2024 Afarand., IRAN
ISSN: 2251-8215 Sarem Journal of Reproductive Medicine 2017;1(3):
ISSN: 2251-8215 Sarem Journal of Reproductive Medicine 2017;1(3):
A New Method in Uterine Cervical Fibroma: Case Report
ARTICLE INFO
Article Type
Case ReportAuthors
Amini A. (*)Mirfendereski A. (1)
(*) Sarem Fertility & Infertility Research Center (SAFIR), Sarem Women’s Hospital, Tehran, Iran
(1) Sarem Fertility & Infertility Research Center (SAFIR), Sarem Women’s Hospital, Tehran, Iran
Correspondence
Address: Sarem Women’s Hospital, Basij Square, Phase 3, Ekbatan Town, Tehran, Iran. Postal Code: 1396956111Phone: +98 (21) 44670888
Fax: +98 (21) 44670432
aliaminimd@yahoo.com
Article History
Received: March 10, 2016Accepted: June 14, 2016
ePublished: August 15, 2016
ABSTRACT
Aims
Uterine leiomyomas are the most common pelvic tumors in women. The patient is 26 year old virgin woman, who had come to Sarem Hospital due to severe bleeding. In the studies, cervical fibrosis was detected in the uterus, which was associated with anemia and severe bleeding, and the removal of fibroma was necessary. Cervical fibrosis is surgically removed through the vaginal canal, but the patient, due to virginity, was reluctant to undergo surgery through the vaginal canal. Therefore, the decision was made to perform this surgery through abdominal myomectomy. The patient was discharged from the hospital 2 days after surgery with a good general condition and satisfaction with the health of the virginity.
Conclusion In Islamic countries such as Iran, considering the culture of the general public, the virginity is very important. In this particular case, due to the request of his virginity and its importance for the family, surgery through abdominal myomectomy was recommended. Although the surgical procedure is followed by scarring of abdominal surgery and postoperative pain, but the result is the same as the result of the surgery through the vaginal canal.
Conclusion In Islamic countries such as Iran, considering the culture of the general public, the virginity is very important. In this particular case, due to the request of his virginity and its importance for the family, surgery through abdominal myomectomy was recommended. Although the surgical procedure is followed by scarring of abdominal surgery and postoperative pain, but the result is the same as the result of the surgery through the vaginal canal.
CITATION LINKS
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[10]Kim HS, Kim JW, Kim MK, Chung HH, Lee TS, Jeon YT, et al. A randomized prospective trial of the postoperative quality of life between laparoscopic uterine artery ligation and laparoscopy-assisted vaginal hysterectomy for the treatment of symptomatic uterine fibroids: clinical trial design. Trials. 2009;29;10: 8.
[2]Chang WC, Chen SY, Huang SC, Chang DY, Chou LY, Sheu BC. Strategy of cervical myomectomy under laparoscopy. Fertil Steril. 2010;94(7):2710–5.
[3]Matsuoka S, Kitade M, Kikuchi I, Kumakiri J, Kuroda K. Strategy of Cervical Myoma under Laparoscopy. J Minim Invasive Gynecol. 2009;16(6 Suppl):S125.
[4]Sinha R, Hegde A, Warty N, Mahajan C. Laparoscopic myomectomy: Enucleation of the myoma by morcellation while it is attached to the uterus. J Minim Invasive Gynecol. 2005;12(3):284–9.
[5]Shi R. Clinical Analysis of Laparoscopic Myomectomy for Patients with Cervical Myoma. J Minim Invasive Gynecol. 2010;17(6 Supple):S62.
[6]Pravin P, Banker M, Munshi N, Bhalla A. Handling Cervical Myomas. J Gynecol Endosc Surg. 2011; 2(1): 30-2.
[7]Songshu X, Min X, Yajun W, Yueran L, Dabao X. Hysteroscopy- and laparoscopy-based diagnosis and treatment of girls with unbroken hymen with an obstructing uterine septum: two case reports. J Med Case Rep. 2014;8:222.
[8]Xu DB, Xue M, Cheng CX, Wan Y. Hysteroscopy for the diagnosis and treatment of pathologic changes in the uterine cavity in women with an intact hymen. J Minim Invasive Gynecol. 2006;13(3):222-4.
[9]Spitzer RF, Caccia N, Kives S, Allen LM. Hysteroscopic unification of a complete obstructing uterine septum: Case report and review of the literature. Fertil Steril. 2008;90(5): 2016.e17-2016.e20.
[10]Kim HS, Kim JW, Kim MK, Chung HH, Lee TS, Jeon YT, et al. A randomized prospective trial of the postoperative quality of life between laparoscopic uterine artery ligation and laparoscopy-assisted vaginal hysterectomy for the treatment of symptomatic uterine fibroids: clinical trial design. Trials. 2009;29;10: 8.