ABSTRACT

Complications). – Pressure effects: k frequency or urinary retention, if a large fibroid presses on the

bladder; k hydronephrosis may occur, depending on the location of the

fibroid, due to pressure on the ureter. – Infertility: k submucosal fibroids can cause distortion of the uterine cavity

resulting in failure of implantation. = Examination:

– Pelvic mass may be palpable on pelvic or abdominal palpation. – The mass is continuous with the uterus. – Single fibroids feel smooth. – Multiple fibroids feel irregular.