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Updated: Dec 16, 2025

Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Prolapsed cervical myoma during pregnancy.
Virginia González González1, Aránzazu Herráez Moreta1, Alejandra Mayoral Triana1
1Gynecology and Obstetrics Department, Hospital Clínico, Universitario San Carlos, Spain.
This case report details a successful vaginal myomectomy during early pregnancy for a prolapsed cervical myoma. This rare procedure highlights a viable surgical option for managing symptomatic uterine fibroids in pregnant patients.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
- Surgical Innovation
Background:
- Prolapsed submucosal myomas during pregnancy are rare obstetric complications.
- Limited case reports exist for surgical intervention during gestation.
Purpose of the Study:
- To report a case of vaginal myomectomy for prolapsed cervical myoma in a pregnant patient.
- To review the literature on managing cervical leiomyomas during pregnancy.
Main Methods:
- Diagnosis of a prolapsed cervical myoma in a 13-week pregnant patient.
- Surgical intervention via vaginal myomectomy at 13 weeks and 5 days gestation.
- Postoperative monitoring for maternal and fetal well-being.
Main Results:
- The vaginal myomectomy was successfully performed.
- The patient experienced an uneventful postoperative recovery.
- The pregnancy was maintained following the procedure.
Conclusions:
- Vaginal myomectomy is a feasible surgical approach for prolapsed cervical myomas during pregnancy.
- This case contributes to the limited literature on managing rare uterine fibroid presentations in gestation.
- Further case reports are needed to establish best practices.
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