Interstitial laser photocoagulation for uterine myomas

Thirty myomas in 24 symptomatic patients who refused conventional surgery were treated by interstitial laser photocoagulation, monitored by laparoscopy. The procedure was well tolerated. Magnetic resonance imaging or ultrasound scanning documented shrinkage in 23 lesions (those lesions >6 cm in diameter responded poorly), with clinical benefit in 13 patients. (Am J Obstet Gynecol 2002;187:382-4.)