All are methods of managing fibroid uterus. Except-
Ans. is 6b' i.e. "Radiofrequency ablation" (Ref. Jeffcot's Principles of Gynecology, 6/e, p 479, Recent Advances in Obs. and Gynae, no. 22, p 135, 137-143)Radiofrequency ablation of endometrium is used for treatment of dysfunctional uterine bleeding (DUB).Recent Advances in Obs. and Gynae, no. 22, p 135 writes - "Both hysterectomy and endometrial ablation offer similar satisfaction for the t/t of DUB. 80% of women will avoid hysterectomy after radio frequency ablationRest of the given options are used in the management of fibroid.For the support of option 'c' and 'd' read the below quoted lines from Jeffcot'sOption 'c' i.e. Embolisation of uterine artery."Uterine artery embolotherapy using polyvinyl alcohol or gel foam pellets has been tried in selected patients who are not fit for or desirous of surgical therapy although they have symptomatic uterine leiomyomas. Success rales of 96 to 98 per cent have been reported by experienced angiographers. "Option 'd' i.e. Laser myomectomy "Laparoscopic myoma coagulation using lasers or the bipolar needle to drill holes into the substance of a subserous or intramural myoma. The myometrial stroma necroses, vascularity decreases and substantial shrinkage of the myoma results. "
Myomectomy
Radiofrequency ablation
Embolisation of uterine artery
Laser myomectomy
Treatment and Recurrence