Cervical myomas is well-circumscribed, benign tumors of the cervix.
Cervical myomas are well-circumscribed, benign tumors of the cervix. Cervical myomas are rare. Uterine fibroids (myomas Fibroids- of the uterus) are usually present simultaneously. Large Cervical myomas can relocate or urinary tract partially prolapse into the vagina. Prolapsed fibroids can form or developed from these types ulcers, infections, bleeding or a combination. Symptoms and signs Most Cervical myomas can trigger symptoms if necessary. The most frequent symptom is bleeding, which can be unusual and strong and occasionally cause anemia. Dyspareunia may occur. By infection can cause pain, discharge or bleeding.
Most cervical myomas occasionally cause symptoms. The most prevalent symptoms are:
Bleeding from the vagina, which may be uncommon or heavy
Heavy bleeding can cause anemia, with weakness and fatigue. Sexual intercourse may be painful.
If myomas grow infected, they may trigger pain, discharge, bleeding, from the vagina.
Rarely, prolapse triggers symptoms such as having a sensation of pressure or a lump in the abdomen.
If a myoma prevents the flow of urine, women may have some resistances when urinating, trickle at the end of urination, and hold urine. Urinary tract infections are more likely to form.
Physicians can often identify myomas through a physical examination. During a pelvic examination, physicians may see a myoma, especially if prolapsed. Or physicians may feel a myoma when they reduce the size and shape of the cervix and uterus a (with one gloved hand inside the vagina and the other on top of the abdomen).
If the diagnosis is uncertain, physians may insert an ultrasound device through the vagina into the uterus to recieve an image of the area. This procedure, described transvaginal ultrasonography, is also done to check for blockage of urine flow and for added myomas.
Blood tests are completed to check for anemia.
A Papanicolaou (Pap) or human papillomavirus (HPV) test (referred to as cervical cytology tests) is done to rule out cancer of the cervix.
If myomas produce symptoms, surgery
If myomas are small and do not cause any symptoms, no treatment is needed.
If myomas cause symptoms, they are surgically removed if possible (a procedure called myomectomy). If only the myoma is removed, women can still bear children. However, if myomas are large, removal of the entire uterus (hysterectomy) may be necessary. Either procedure can be done by making a large incision in the abdomen (laparotomy). Sometimes these procedures can be done with instruments inserted through one or more small incisions near the navel (laparoscopy).
If a myoma prolapses, it is removed with instruments inserted through the vagina (transvaginally) if possible.
Cervical myomas is rare. Uterine fibroids (myomas Fibroids- of the uterus) are usually present simultaneously. Large Cervical myomas can relocate or urinary tract partially prolapse into the vagina. Prolapsed fibroids can develop from these ulcers, infections, bleeding or a combination.
On rare occasions by a prolapse to a feeling of pressure or a pelvic mass. Urinary obstruction caused Harnverzögerung, -träufeln or -retention; Urinary tract infections can develop. Diagnosis Physical examination The determination is made because of the physical examination. Cervical myomas, v. a. in prolapse, are often visible in the speculum and sometimes palpable in bimanual palpation.
Transvaginal sonography is only in the following cases: confirmation of a diagnosis of exclusion urinary tract obstruction prove additional fibroids order to rule out anemia, Hb and Hct are diagnosed and made a blood count. Cervical cancer is excluded by cervical cytology. Treatment distance symptomatic fibroids The treatment corresponds to that of leiomyomas of the uterus (uterine fibroids: treatment). Small asymptomatic fibroids do not require surgery. Most symptomatic Zervixmyome be myomectomy (particularly where the preservation of fertility is desired) or, if a myomectomy is difficult to perform, is removed by hysterectomy. Prolapsed fibroids should where possible, be transvaginal removed.