Vaginal Myomectomies in Patients with Pedunculated Myomas

Myomas or the fibroids are the commonest benign neoplasm of the uterus. It arises from the smooth muscle of the uterus or from vessel wall. They are commonly seen in women of reproductive age group. Majority of the fibroids are usually asymptomatic but some may cause symptoms depending on location, size, number and extent. They may cause variety of symptoms such as dysmenorrhea, dyspareunia, difficulty in micturition or irregular bleeding P/V. Ultrasound remains the main stay in diagnosing myomas. There are various treatment modalities available depending on location, size, extent and parity status. Vaginal myomectomy is one such approach discussed here.