Myomectomy during cesarean section is strongly discouraged in all the leading textbooks despite the lack of any direct evidence supporting the approach. Leiomyomata are the most common gynecologic tumors, with a reported incidence of 20-25%. Fibroids are the most common indication for hysterectomy, accounting for over 200,000 hysterectomies per year in the United States. Fibroids affect mainly women in their childbearing years and may be asymptomatic or cause a variety of symptoms, including menometrorrhagia, dysmenorrhea, pelvic pain, reproductive failure, and compression of adjacent pelvic viscera. The estimated prevalence of fibroids in pregnancy is 1-4% (1, 2).
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