Spontaneous Vaginal Expulsion of Uterine Myoma after Magnetic Resonance–Guided Focused Ultrasound Surgery

Abstract Uterine myomas are common benign uterine tumors in women of reproductive age. Magnetic resonance-guided focused ultrasound surgery (MRgFUS) is a minimally invasive procedure that produces coagulative necrosis at a precise focal point within the body. MRgFUS regarded as an effective and safe treatment modality in women with symptomatic uterine myomas. Vaginal passage of treated myoma tissue has been reported during other therapeutic procedures such as uterine artery embolization or during puerperium. This study is the first to report a case of vaginal expulsion of uterine myoma after MRgFUS, with complete endometrial recovery on follow-up.