Kamil Biringer, Zuzana Biringerová, Kristína Biskupská Boďová, Miroslav Haško, Ján Danko
The most frequent tumor in female minor pelvis are myomas. The conventional surgical approaches are: laparotomic myomectomy, supravaginal uterine amputation, and hysterectomy with or without adnexectomy. Current standard miniinvasive techniques represent laparoscopic myomectomy, and hysteroresectoscopy. However, there is a group of patients, in which we cannot provide this treatment. We have to speculate about non-surgical therapeutic methods like uterine artery embolization and hormonal treatment. The latest techniques represent: percutaneous laser ablation, cryoablation, transvaginal uterine artery occlusion, and magnetic resonance imaging (MRI)-guided focused ultrasound. This is not an attractive choice for many women, especially patients desiring to preserve their fertility potential. Gene therapy seems to become a clinical reality.