Prolapsed pedunculated sub-mucous uterine fibroleiomyomata at the University Teaching Hospital, Lusaka.

During a two year period 901 cases were admitted and diagnosed as benign gynaecological neoplasms. Five hundred and thirty three of these (59.1 pc) were uterine fibroleiomyomata. Of these, 103 had surgery and 13 (12.6 pc) had pedunculated fibroleiomyomata presenting as a vaginal mass. Eight of the 13 cases were treated by vaginal myomectomy. Total abdominal hysterectomy was carried out in two cases because of failed vaginal myomectomy. Two others had total abdominal hysterectomy for dysfunctional uterine bleeding and for satisfied parity. One case absconded. Vaginal myomectomy should be the first choice of treatment for prolapsed submucous leiomyomata. However, in cases with concurrent gynaecological problems or those cases with satisfied parity, total abdominal hysterectomy should be considered. Specific antibiotics should be used pre and post operatively in cases with necrotic tumours.