A prospective comparison of morcellator and culdotomy for extracting of uterine myomas laparoscopically in nullipara.

We compare the removal of uterine myomas in 78 nulliparous women identified by ultrasound during laparoscopic myomectomy through culdotomy or by use of a power morcellator. Patients were divided into two groups. The culdotomy group was significantly longer. There were no significant differences in tumor size, total specimen weight, patient body weight, total operating time, blood loss, and postoperative stay between each group. Uterine myomas can be removed successfully through either port site in nullipara; however, because of reduced removal time, the power morcellator is preferred.