Successful pregnancy in a woman with symptomatic fibroids who underwent laparoscopic bipolar coagulation of uterine vessels.
OBJECTIVE
To report a case of successful pregnancy after laparoscopic bipolar coagulation of uterine vessels (LBCUV).


METHODS
Case report.


METHODS
University-affiliated tertiary referral center.


METHODS
One woman, treated with LBCUV for symptomatic fibroids, who subsequently had a successful pregnancy.


METHODS
Laparoscopic bipolar coagulation of uterine arteries and anastomotic sites of uterine arteries with ovarian arteries.


METHODS
Patient evaluation by physical and ultrasound examinations.


RESULTS
Complete resolution of menorrhagia and dysmenorrhea was found after LBCUV. Reduction in fibroid size was seen by ultrasound. Two months later, the patient conceived a singleton pregnancy without the use of assisted reproductive technologies. The woman delivered by cesarean section. Neither myoma recurrence nor abnormality in uterine function was observed.


CONCLUSIONS
Although fecundity- and pregnancy-related complications after LBCUV for managing uterine fibroids are still unclear, this first case report of successful pregnancy after LBCUV is promising. LBCUV might be a safe and effective alternative to myomectomy and hysterectomy.
Chen
Yi Jen
YJ
Department of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan.
Wang
Peng Hui
PH
Yuan
Chiou Chung
CC
Yang
Ming Jie
MJ
Yen
Yuan Kuei
YK
Liu
Wei Min
WM
D000328:Adult; D001158:Arteries; D002585:Cesarean Section; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007889:Leiomyoma / Q000000981:diagnostic imaging / Q000628:therapy*; D011247:Pregnancy; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D014599:Uterus / Q000098:blood supply*