Vaginal myomectomy for a large intrastromal cervical fibroid: a case report

Fibroids affect up to two-thirds of women of reproductive age and can lead to significant symptoms, including abnormal uterine bleeding and reproductive dysfunction. Cervical fibroids are rare, with an incidence of only 0.6%. Currently, there is no consensus on the optimal surgical approach for management of cervical fibroids. Pedunculated extracervical fibroids are routinely removed vaginally. However, intrastromal (intracervical) fibroids often require a laparoscopic or laparotomic approach. We report a case of vaginal myomectomy for the management of a large cervical fibroid in a 43-year-old patient seeking fertility treatment. We discuss the feasibility of this surgical approach and its potential for enhanced recovery.