The authors present a retrospective study of 26 patients who have bene
fited from vaginal myomectomy after culdotomy in the Conception hospit
al in Marseille between 1992 and 1997. The myomectomy whom technic is
described, was performed unically through the vagina or laparoscopical
ly assisted The mean operating time was 94 mn. The myoma mean weight w
as 184,3 g. Three patients experienced an abdominal surgery, twice bec
ause of a vaginal inaccessness. The immediate and mean-term post-opera
tive period was uncomplicated in most cases. For screened patients, va
ginal myomectomy appears as an interesting alternative So abdominal or
laparoscopic surgery.