Intraoperative injection of prostaglandin F2alpha in a patient undergoing hysteroscopic myomectomy.
OBJECTIVE
To present a case of one-step total hysteroscopic myomectomy using prostaglandin F(2alpha).


METHODS
Case report.


METHODS
University hospital.


METHODS
A 38-year-old woman with a sessile submucous leiomyoma.


METHODS
Hysteroresectoscopy using an intraoperative injection of prostaglandin F(2alpha) under laparoscopic monitoring.


METHODS
Endoscopic appearance, clinical symptoms, and imaging diagnosis.


RESULTS
After resection of the protruding portion of the myoma, injection of prostaglandin F(2alpha) was used to cause the remnant to project into the uterine cavity, allowing complete removal.


CONCLUSIONS
Intraoperative use of prostaglandin F(2alpha) may allow one-step hysteroresectoscopy of a sessile submucous leiomyoma.
Murakami
Takashi
T
Department of Obstetrics and Gynecology, Tohoku University School of Medicine, Sendai, Japan. murakami@mail.cc.tohoku.ac.jp
Shimizu
Takao
T
Katahira
Atsuko
A
Terada
Yukihiro
Y
Yokomizo
Rei
R
Sawada
Rui
R
D000328:Adult; D015237:Dinoprost / Q000008:administration & dosage*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D015907:Hysteroscopy; D007267:Injections; D007889:Leiomyoma / Q000601:surgery*; D014594:Uterine Neoplasms / Q000601:surgery*
D015237:Dinoprost