Transvaginal Expulsion of a Fibroid after Transvaginal Radiofrequency Ablation: A Complication or a Benefit?

Uterine fibroids are among the most common benign tumors affecting women of reproductive age. Traditional treatment has often involved surgical removal, including hysterectomy, but minimally invasive alternatives such as radiofrequency ablation (RFA) have emerged. We report the case of a 41-year-old woman with symptomatic uterine fibroids (FIGO type 2–5, size of 5 cm) treated with transvaginal RFA. One month post-treatment, the fibroid showed partial volume reduction. Two months after the procedure, the patient presented with foul-smelling discharge and heavy bleeding. Ultrasound confirmed complete fibroid migration into the cervical canal. Vaginal removal was performed without complications. This case highlights a rare but notable outcome of RFA treatment. Transvaginal fibroid expulsion may be viewed as either a treatment-related complication or a spontaneous therapeutic result. To our knowledge, only one other case has been reported in the literature. Further studies are needed to assess the prognostic and clinical significance of this occurrence.