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I need a hysterectomy for a large uterine fibroid. I will not be meeting with my gynecologist for a few weeks and I have a question. I've been told morcellation is not done anymore. If this is true, my uterus and fibroid will have to be removed intact. That would leave me with having them removed through a full abdominal incision or laparoscopically assisted vaginal hysterectomy.
My fibroid is 9 cm. Not only have I never given birth, but I'm still a virgin. Even pap smears are painful for me. Am I right to assume that there is no possible way a fibroid this large could be removed vaginally? I don't see any way that could be possible, but I wanted to get a medical opinion on that. Thank you for your time and assistance.


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replied October 11th, 2018
Hysterectomy Answer A64459
Thank you for asking at Ehealth forum!

I read your question and I understand your concern.
Do not confuse the laparoscopic morcellation with the hand-performed morcellation you use to do during vaginal hysterectomy.The first one is done inside your abdomen with morcellator and the second one,outside your vagina with a knife or scissor.So the cut pieces fall outside and that do not carry so-called theoretical risks of laparoscopic morcellation. Moreover, a 9 cm fibroid is not a so big one that will even need a morcellation if intended to be removed through vaginal route.So,do not worry and keep faith over your surgeon.
I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counseling purposes and cannot be an alternative to actual visit to a doctor.
Take care


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