Vaginal hysterectomy for myomatous polyp

Vaginal hysterectomy was performed in 28 perimenopausal women with large myomatous polyps protruding from the cervix. The vaginal route was selected for hysterectomy instead of the usual abdominal approach, based on assessment made after examination under anesthesia following polypectomy. All patients made an uneventful recovery. In women who need hysterectomy, we recommend that removal of myomatous polyps vaginally should be followed by a thorough assessment for deciding the route of hysterectomy. In most cases, the choice would be vaginal hysterectomy, sparing the women the trauma of an abdominal operation.