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Cervical and prolapsed submucosal leiomyomas complicating pregnancy
Heather L Straub1, Lubna Chohan, Charlie C Kilpatrick
1PGY 4 UTHealth, Department of Obstetrics and Gynecology, LBJ Residency program, Houston TX, USA.
Obstetrical & Gynecological Survey
|December 15, 2010
Summary
Cervical leiomyomas in pregnancy are rare but usually do not cause complications. Surgical intervention for these uterine tumors is indicated for bleeding, infection, pain, or urinary stasis.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
Background:
- Uterine leiomyomas affect 3-10% of pregnancies.
- Clinically evident cervical leiomyomas in pregnancy are less common, occurring in <1% of cases.
- Contrary to previous beliefs, most uterine leiomyomas during pregnancy do not result in complications.
Purpose of the Study:
- To review the current literature on cervical leiomyomas in pregnancy.
- To summarize major findings regarding prevalence, natural history, and management.
- To enhance understanding for healthcare providers managing pregnant patients with leiomyomas.
Main Methods:
- Literature review of current research on cervical leiomyomas in pregnancy.
- Analysis of prevalence, natural history, and complication rates.
- Evaluation of indications for surgical intervention and imaging modalities.
Main Results:
- Cervical and prolapsed submucosal leiomyomas are rare during pregnancy.
- The majority of uterine leiomyomas in pregnancy do not typically lead to complications.
- Indications for surgery include bleeding, infection, degeneration, pain, and urinary stasis.
Conclusions:
- Cervical leiomyomas in pregnancy are uncommon and often asymptomatic.
- Surgical intervention is reserved for specific symptomatic cases.
- Appropriate imaging (ultrasound, MRI) aids in diagnosis and surgical planning.
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