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).

DESIGN: Case report.

SETTING: University hospital.

PATIENT(S): A 38-year-old woman with a sessile submucous leiomyoma.

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

MAIN OUTCOME MEASURES: Endoscopic appearance, clinical symptoms, and imaging diagnosis.

RESULT(S): 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.

CONCLUSION(S): Intraoperative use of prostaglandin F(2alpha) may allow one-step hysteroresectoscopy of a sessile submucous leiomyoma.