Intraoperative injection of prostaglandin F2α 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 Measure(s): 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.