MedicineGynecologySurgeryReproductive MedicineReproductive SurgerySurgical PathologyPelvic Organ ProlapsePelvic Organ Prolapse SurgerySubmucosal FibroidsUterine FibroidsUterine PathologyVaginal Prolapse RepairAbdominal HysterectomyRetrospective Case StudySubmucous Fibroid ResectionSubmucous FibroidsSurgical Management Of FibroidsUterine Fibroid SurgeryVaginal Hysterectomy
Prolapsed submucous fibroids are not uncommon, and patients present with a vaginal mass which is often necrotic and infected. This is a retrospective study of 41 such patients seen at the King Edward VIII Hospital, Durban, over a 3-year period. Twenty-eight were treated by vaginal myomectomy and 13 by abdominal hysterectomy. Postoperative morbidity was slightly higher with hysterectomy, but comparable to that for hysterectomy for unprolapsed fibroids.