Surgical tips and tricks in laparoscopic hysterectomy for the treatment of acute urinary retention caused by impacted cervical fibroid — YRD
  1. Schedule
  2. Session 9: Free Communication Session D
  3. Surgical tips and tricks in laparoscopic hysterectomy for the treatment of acute urinary retention caused by impacted cervical fibroid

Surgical tips and tricks in laparoscopic hysterectomy for the treatment of acute urinary retention caused by impacted cervical fibroid (#D6)

Pattaya Hengrasmee 1 , Tahani Almotrafi 1 , Alan Lam 1
  1. Gynecological Endosurgery Unit, Department of Obstetrics and Gynaecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand

Background:

Acute urine retention can result from impacted pelvic masses such as large uterine myoma

Case summary:

A 49 year-old lady presented to A/E department in acute urinary retention. Examination and imaging studies demonstrated bladder neck obstruction caused by a large prolapsed cervical fibroid wedged in the pelvic cavity.

Intervention:

The DVD demonstrates the essential steps taken to allow the tips and tricks in the dissection of the pelvic sidewall, ureters, bladder and uterine vessels allowing total hysterectomy and removal of the impacted fibroid uterus. The patient made a complete recovery with resumption of normal voiding.

Conclusion:

Laparoscopic hysterectomy following a systematic approach to pelvic sidewall dissection allows safe and minimally invasive surgical removal of the impacted cervical fibroid.