Alarza R*, Marín ME, Engels V and Pérez Medina T

Departamento de Obstetricia y Ginecología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain

*Corresponding Author: Alarza R, Departamento de Obstetricia y Ginecología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.

Received: March 28, 2022; Published: June 12, 2022

Abstract

Introduction: Uterine myomas represent the most common benign gynecological disease in women but they are not symptomatic in all cases and their treatment should be individualized.

Case Report: A 38 year old woman attended to the emergency room due to abdominal pain and dizziness. A diagnosis of left ectopic pregnancy was made and a salpingectomy was performed. Two cornual myomas were also described in sonography. The right cornual myoma was a type 4 myoma according to Federation of Gynecology and Obstetrics classification and had a volume of 24 cm³. The left one was a type 4 cornual myoma with a volume of 49.76 cm³. HiFoSy (Histerosalpingo Foam Sonography) showed a T-shaped cavity and right tube obstruction. Vaginal radiofrequency ablation of both myomas was performed and 11 months after intervention the patient reported a positive pregnancy test. Sonography confirmed an intrauterine pregnancy.

Discussion: Medical treatment is not always effective in symptomatic fibroids, specially when there is compressive symptoms. Currently, patients ask for less invasive treatments so that they can preserve uterus. In this situation, radiofrequency ablation is becoming an effective technique with a small rate of re-intervention and good pregnancy outcomes.

Keywords: Myoma; Fertility; Radiofrequency Ablation; Pregnancy; Uterine Fibroid

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Citation

Citation: Alarza R., et al. “Radiofrequency Ablation of Uterine Myomas Conditioning Bilateral Tubal Obstruction: A Case Report". Acta Scientific Women's Health 4.7 (2022): 02-05.

Copyright

Copyright: © 2022 Alarza R., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.