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Abstract

Introduction: Menstrual irregularity is a common symptom for attendance at gynaecology
clinic particularly in the late reproductive years. A reasonable percentage of patients found
to have fibroid after clinical examination and subsequently confirmed by ultrasonography
investigations. Many of them undergo hysterectomy as the definitive procedure.
Aims: To evaluate the outcome of vaginal removal of fibroid polyp over a period of 15 years
at a tertiary care semi urban private hospital.
Methods: Analysis of prospectively collected data of eleven cases with diagnosis of
fibroid polyp was done. Two patients were excluded because of a decision for abdominal
hysterectomy (one for patient preference and other additional fibroids in the uterus). In
nine patients an attempt for vaginal removal of fibroid polyp under general anaesthesia was
performed.
Results: All patients are parous and all had previous vaginal deliveries. The age range was
38 – 48 years (average – 42.7 years). Vaginal removal of fibroid was successful in eight
patients. There were no immediate complications. Histological diagnosis of leiomyoma was
confirmed in all cases (100%). Total abdominal hysterectomy was performed in one patient
because of uncontrolled haemorrhage at the time operation. This patient required two units
of blood transfusion. No subsequent hysterectomy was required in the follow up period (six
months to three years).
Conclusions: Vaginal removal of fibroid polyp is safe, simple yet definitive procedure in
well selected cases of patients with abnormal uterine bleeding. Additionally, this procedure
is minimally invasive, less costly and some can be discharged after twenty-four hours.
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