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Updated: Jan 30, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Massive prolapsed submucous fibroid treated with laparoscopic surgery: A case report
Kazuya Yabumoto1, Fumitake Ito1, Hiroshi Matsushima1
1Department of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan.
Laparoscopic surgery effectively treated massive prolapsed submucous uterine fibroids causing significant symptoms. This minimally invasive approach offers a viable solution for this rare gynecological condition.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
- Urogynecology
Background:
- Prolapsed submucous uterine fibroids are rare, presenting as pedunculated masses extending through the cervix.
- Symptoms include abnormal bleeding, urinary issues, and pelvic pain, significantly impacting quality of life.
Observation:
- A 47-year-old woman presented with a large, prolapsed submucous fibroid causing severe symptoms, with the mass palpable abdominally and visible vaginally.
- Pelvic MRI confirmed a massive fibroid occupying the cervical canal and vagina, with no signs of malignancy.
Findings:
- A laparoscopic approach was employed, including uterine artery ligation, transvaginal fibroid extraction via twisting, and total laparoscopic hysterectomy.
- Histopathology confirmed leiomyoma with partial ischemia. The patient recovered well and was discharged within six days.
Implications:
- Laparoscopic management of massive prolapsed submucous fibroids is feasible and effective.
- This surgical strategy may be a suitable alternative to traditional open procedures, offering potential benefits in recovery and reduced morbidity.
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