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Updated: Jun 11, 2026
Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Nonsurgical treatment of pyomyoma in the postpartum period
Monika Laubach1, Maria Breugelmans, Mina Leyder
1Service of Obstetrics, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, Brussels, Belgium. monika.laubach@uzbrussel.be
Background:
Only 13 cases of pyomyoma related to pregnancy have been described since 1945. Treatment consists of hysterectomy, which exposes critically ill patients to operative risks and induces infertility.
Cases:
Three cases of pyomyoma in the postpartum period are described. Treatment using computed tomography-guided drainage was realized successfully in two cases.
Conclusion:
Therapy via drainage and lavage of pyomyoma is a viable option to preserve patient fertility. In the absence of a proper response to this treatment, total abdominal hysterectomy is the treatment of choice.
