A case of full term normal spontaneous vaginal delivery after radiofrequency myolysis.

Kim, Sue Yeon; Hwang, Sung Jin; Yong, Chun Gun; Kim, Jin Hong; Kim, Jang Heub; Cho, Hyun Hee

Case Report

Korean Journal of Obstetrics & Gynecology 2008;51(9):1064-1068.
Published online September 1, 2008.

A case of full term normal spontaneous vaginal delivery after radiofrequency myolysis.

Sue Yeon Kim, Sung Jin Hwang, Chun Gun Yong, Jin Hong Kim, Jang Heub Kim, Hyun Hee Cho

Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea. drrabbit@catholic.ac.kr

Abstract

Radiofrequency (RF) myolysis is a minimally invasive treatment by create thermal energy in targeted uterine fibroid and cause the aseptic necrosis of leiomyoma cells. Unlike hysterectomy which is considered to be the most common treatment of uterine leiomyoma, RF myolysis can preserve the uterus, and unlike myomectomy which can preserve the uterus but requires the hospitalization and general anesthesia, it can be performed as outpatient procedure using only sedation for pain relief without additional need for medication. There are many published studies reporting the pregnancy complications and outcomes after myomectomy, but few studies regarding pregnancy and myolysis are available. We have experienced a full term vaginal delivery after RF myolysis of subserosal myoma and hereby we report our case with a brief review.

Key Words: Radiofrequency myolysis, Pregnancy, Delivery