Successful pregnancy in a woman with symptomatic fibroids who underwent laparoscopic bipolar coagulation of uterine vessels

Abstract

Objective: To report a case of successful pregnancy after laparoscopic bipolar coagulation of uterine vessels (LBCUV). Design: Case report. Setting: University-affiliated tertiary referral center. Patient(s): One woman, treated with LBCUV for symptomatic fibroids, who subsequently had a successful pregnancy. Intervention(s): Laparoscopic bipolar coagulation of uterine arteries and anastomotic sites of uterine arteries with ovarian arteries. Main Outcome Measure(s): Patient evaluation by physical and ultrasound examinations. Result(s): 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. Conclusion(s): 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.