Vaginal myomectomy of multiple cervical myomas

Area of Science:

• Gynecology
• Reproductive Medicine
• Surgical Innovation

Background:

• Cervical myomas are uncommon uterine tumors.
• They present unique surgical challenges, particularly for women of childbearing age.
• Intramural cervical myomas complicate treatment options.

Purpose of the Study:

• To describe a case of successful vaginal myomectomy for symptomatic intramural cervical myomas.
• To highlight uterine preservation and fertility considerations in managing cervical myomas.
• To present an unusual surgical approach for a rare gynecological condition.

Main Methods:

• A case report of a woman in her 30s with symptomatic multiple cervical myomas, including two intramural ones.
• Surgical intervention via vaginal myomectomy.
• Follow-up assessment including speculum and ultrasound examinations.

Main Results:

• Successful surgical removal of cervical myomas using a vaginal approach.
• Uterine preservation was achieved.
• The cervix appeared normal on follow-up examinations, supporting future pregnancy potential.

Conclusions:

• Vaginal myomectomy can be a viable and effective approach for treating intramural cervical myomas.
• This approach allows for uterine preservation, which is crucial for women desiring future pregnancies.
• This case demonstrates a successful, albeit unusual, surgical solution for a rare gynecological condition.