Inclusion Criteria

INCLUSION CRITERIA

1. Premenopausal (at least 1 menstrual period in last 3 months)

2. Age >21years

3. Fibroids are associated with heavy bleeding, pelvic pressure or discomfort, urinary
or bowel symptoms, or dyspareunia

4. Desires surgical management of fibroids

5. Uterus <16 weeks in size

6. All fibroids <10cm in maximum diameter by ultrasound or MRI assessment

7. Total number of fibroids <6 by ultrasound or MRI assessment

8. Had a Pap smear within the last 3 years with appropriate follow-up and treatment for
cellular abnormalities

9. Endometrial biopsy indicates no hyperplasia or cancer (biopsy only required if age
>45 years and has anovulatory heavy bleeding)

10. Able to tolerate laparoscopic surgery

11. Able to give informed consent

EXCLUSION CRITERIA

1. Planned treatment for infertility

2. Pedunculated fibroid with thin stalk (total stalk length is <50% maximum diameter of
fibroid)

3. All symptomatic fibroids are intracavitary (FIGO Type 0) or submucosal with >50% of
fibroid within endometrial cavity (FIGO Type 1)

4. Planned concomitant surgical procedure in addition to treatment of uterine fibroids

5. Use of Essure or any other metallic, implantable device within pelvis

6. Pregnancy

7. Pelvic infection with the last 3 months

8. History of pelvic malignancy and/or pelvic radiation

9. Known or high suspicion for dense pelvic adhesions