Korean J Obstet Gynecol.  2011 Aug;54(8):480-483. 10.5468/KJOG.2011.54.8.480.

A case of pregnancy and childbirth after transvaginal radiofrequency myolysis in infertile women

Affiliations
  • 1Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. chnkim@amc.seoul.kr

Abstract

Transvaginal radiofrequncy myolysis is minimally invasive treatment by creating thermal energy in myoma and causing the necrosis of uterine fibroid cells. Unlike myomectomy which is considered to be the most common treatment of uterine myoma in infertile women, transvaginal radiofrequncy myolysis can be performed as outpatient procedure using only sedation for pain relief without additional need for medication. Due to its less invasive approach, the hospitalization is not required. There are many published studies reporting the pregnancy complications and outcomes after myomectomy, but there are very limited data on pregnancy after myolysis. Therefore, we present a case of successful pregnancy and childbirth after transvaginal radiofrequency myolysis of uterine myoma in an infertile women with a brief review of the literature.

Keyword

Transvaginal radiofrequency myolysis; Myoma uteri; Pregnancy

MeSH Terms

Female
Hospitalization
Humans
Leiomyoma
Myoma
Necrosis
Outpatients
Parturition
Pregnancy
Pregnancy Complications

Figure

  • Fig. 1 Transvaginal ultrasonography of myoma before myolysis.

  • Fig. 2 Transvaginal ultrasonography of myoma after myolysis.


Reference

1. Buttram VC Jr, Reiter RC. Uterine leiomyomata: etiology, symptomatology, and management. Fertil Steril. 1981. 36:433–445.
2. Nisolle M, Smets M, Malvaux V, Anaf V, Donnez J. Laparoscopic myolysis with the Nd:YAG laser. J Gynecol Surg. 1993. 9:95–99.
3. Zupi E, Sbracia M, Marconi D, Munro MG. Myolysis of uterine fibroids: is there a role? Clin Obstet Gynecol. 2006. 49:821–833.
4. Donnez J, Polet R, Squifflet J, Rabinovitz R, Levy U, Ak M, et al. Endometrial laser intrauterine thermo-therapy (ELITT): a revolutionary new approach to the elimination of menorrhagia. Curr Opin Obstet Gynecol. 1999. 11:363–370.
5. Donnez J, Squifflet J, Polet R, Nisolle M. Laparoscopic myolysis. Hum Reprod Update. 2000. 6:609–613.
6. Ryu JH, Kim KH, Park JS, Yang YS, Oh KY, Rho JH, et al. Comparative analysis on the effectiveness of transvaginal radiofrequency myolysis for conservative management of leiomyoma and adenomyosis. Korean J Obstet Gynecol. 2008. 51:48–59.
7. Luo X, Shen Y, Song WX, Chen PW, Xie XM, Wang XY. Pathologic evaluation of uterine leiomyoma treated with radiofrequency ablation. Int J Gynaecol Obstet. 2007. 99:9–13.
8. Kanaoka Y, Yoshida C, Fukuda T, Kajitani K, Ishiko O. Transcervical microwave myolysis for uterine myomas assisted by transvaginal ultrasonic guidance. J Obstet Gynaecol Res. 2009. 35:145–151.
9. Kim CH, Kim SR, Lee HA, Kim SH, Chae HD, Kang BM. Transvaginal ultrasound-guided radiofrequency myolysis for uterine myomas. Hum Reprod. 2011. 26:559–563.
10. Georgakopoulos PA, Bersis G. Sigmoido-uterine rupture in pregnancy after multiple myomectomy. Int Surg. 1981. 66:367–368.
11. Jung SA, Lee JJ, Park HY, Cha SH, Kim MK, Choi KY, et al. Two cases of cesarean section after laparoscopic radiofrequency myolysis. Korean J Obstet Gynecol. 2008. 51:676–681.
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