Successful strategy for the hysteroscopic myomectomy of a submucous myoma arising from the uterine fundus.
To introduce a technique for hysteroscopic resection of submucous myoma arising from the uterine fundus. Case report. University hospital. A 43-year-old nulliparous Japanese woman. An original combination technique of hysteroresectoscopy using circumferential myoma scraping, central vaporization, and intraoperative injection of prostaglandin F2alpha. Evaluation of clinical symptoms and imaging diagnosis. Resection of a 40-mm fundal myoma was performed hysteroscopically, and the menorrhagia of the patient was remedied by the operation. Although large sessile fundal myomas are difficult to resect by hysteroscopic myomectomy, our original strategy may allow safe and certain surgery in such cases.