Unsuccessful hysteroscopic removal of a large calcified submucous myoma

A thirty-five-year-old infertile woman underwent two trials of hysteroscopic resection of a large calcified submucous myoma. During the first surgery, a resectoscope and an orthopedic rongeru forceps were used. Fifty-one grams of myoma were removed. During the second operation, a pneumatic urological lithotriptor (Swiss LithoClast) was used. Only fourteen grams of myoma were removed. Because the remaining myoma was still large and there were no signs of improvement of menorrhagia, the patient went and received an abdominal myomectomy at another hospital. We conclude that a hysteroscopic surgery is unfit for treating a large calcified submucous myoma.