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Updated: Jun 8, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Ovarian leiomyoma as a potential cause of compromised fertility
Yu-Jin Koo1, Yeon-Jean Cho, Ji-Young Kim
1Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, South Korea.
Objective:
To analyze cases of ovarian leiomyomas and to discuss the proper surgical management.
Design:
A case series and discussion.
Setting:
General university hospital and healthcare center.
Patient(S):
Nine patients who were diagnosed with ovarian leiomyomas after surgery between 1993 and 2009.
Intervention(S):
None.
Main Outcome Measure(S):
A preoperative diagnosis that was matched to the postoperative diagnosis and the type of surgery.
Result(S):
In all cases, ovarian leiomyoma was misdiagnosed preoperatively as pedunculated uterine myoma, ovarian fibroma, or even ovarian endometrioma. Seven (77.8%) of the nine patients underwent a salpingo-oophorectomy or an oophorectomy with or without hysterectomy, and only two (22.2%) patients were submitted to an ovary-preserving surgery (i.e., a cystectomy or ovarian wedge resection).
Conclusion(S):
Because of their extreme rarity, ovarian leiomyomas are seldom suspected intraoperatively or preoperatively. However, most of these tumors appear at reproductive age and have a benign nature, similar to uterine myomas. Therefore, surgeons should perform ovary-preserving management, especially in young patients.
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