Treatment of prolapsed submucous fibroids

Prolapsed submucous fibroids are not uncommon, and patients present with a vaginal mass which is often necrotic and infected. This is a retrospective study of 41 such patients seen at the King Edward VIII Hospital, Durban, over a 3-year period. Twenty-eight were treated by vaginal myomectomy and 13 by abdominal hysterectomy. Postoperative morbidity was slightly higher with hysterectomy, but comparable to that for hysterectomy for unprolapsed fibroids.