Rapid enlargement of uterine myomas after laparoscopic bipolar coagulation of uterine vessels

Yuan Kuei Yen, Wei Min Liu, Chiung Ru Lai, Chiou Chung Yuan, Heung Tat Ng

Research output: Contribution to journalArticlepeer-review

Abstract

Degenerative changes occur relatively frequently in uterine leiomyomas. Morphologic changes such as necrosis, hyalinization, and alterations in cellularity are described after uterine artery embolization. A modified method to interrupt the uterine blood supply is laparoscopic bipolar coagulation of uterine vessels (LBCUV). Although the success rate is good, occasional patients require hysterectomy because of complications or continuing symptoms. A woman with symptomatic myomas underwent LBCUV, but required hysterectomy due to rapid enlargement of myomas and intractable symptoms including pelvic pain and pressure, and acute urinary retention. The combination of degenerative and iatrogenic changes resulted in a histologic appearance resembling diffuse hyalinization and hydropic degeneration of the leiomyomas.

Original languageEnglish
Pages (from-to)93-97
Number of pages5
JournalJournal of the American Association of Gynecologic Laparoscopists
Volume9
Issue number1
DOIs
Publication statusPublished - 2002
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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