Re: Fibroid management

From: bclaure (bclaure@club-internet.fr)
Tue Dec 17 13:51:49 1996


ENDODOK@aol.com wrote: >
> Listers: 38 yr. old G0P0 has severe menorrhagia, unresponsive to hormonal Rx.
> UTZ demonstrates 4 cm fibroid in "lower segment." Patient wishes to maintain
> fertility option. Her care providers recommend abdominal myomectomy. Pt.
> informed and knowledgable re: fibroids; requests hysteroscopic resection for
> bleeding control. Request denied.
> Would appreciate your thoughts and comments.
>
> J.Glenn Bradley MD

Hysteroscopic resection is probably one of the best solutions. If the fibroid is not in the thickness of the muscle or underserous. Maybe an hysteroscopic endometrectomy would be suitable as a supplement for the rest of the uterus. Adenomyosis is a very frequent finding.

Bernard Cristalli MD CNGOF Paris - France





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