| Reproductive Age Group - Uterine Masses
Vaginal myomectomy is indicated in the case of a prolapsed
pedunculated submucous broid.
Hysteroscopic resection of small submucous leiomyomas
The recurrence risk for leiomyomas has been reported to be as high as
50% after myomectomy, with up to 1/3 requiring repeat surgery.
Endometrial ablation can decrease bleeding for women with primary
intramural broid
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hysteroscopy
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Reproductive Age Group - Uterine Masses
Nonextirpative approaches:
Myolysis - use of lasers to coagulate or needle electrodes to deliver an
electrical current to individual leiomyomas
Uterine artery embolization - have serious consequences, including
infection, massive bleeding, and necrosis requiring emergency surgery.
Still consider investigational.
Long-term safety and e cacy have not yet been demonstrated.
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