09/05/2024
                                            Interesting case to share with you all 
49/F With Pedunculated Cervical Fibroid (4x5cms) Protruding out of the Introitus.
Cervix cannot be appreciated seperately, pinch test positive.
Difficult to access the plains.
Diagnostic Scopy was performed which showed a descended fundus due to the weight of the fibroid.
Both Ovaries and Tubes Visualised. 
Decided to go for a vaginal approach,
Cervix and bladder not well appreciated, infiltration with NS done along the demarcating lines.
With traction, infiltration difficult Vaginal Hysterectomy was performed. 
Also pelvic floor repair done.