Objective: Implementation of minimally invasive selective ischemization of uterine leiomyomas at fertile age women. Design: Pilot study. Settings: Gynecological institute GynCentrum, Prague. Subject and methods: Ultrasound guided laparoscopic electro-coagulation of myoma’s vascular stalk was carried out at consecutive 48 women during June 2000 - June 2002. Results: Significant reduction of the original size of the leiomyoma was achieved at 98% of women during 3 months after the surgery.No surgery complicationswere observed as well as any obstetrical complications at five patients getting pregnant after the procedure. Conclusion: In addition to good therapeutic effect this minimally invasive technique brings more rapid recovery, smaller visible incisions and reduced complication, particularly during consequent pregnancy.

        Key words: myomatosis, ischemization, laparoscopy, ultrasound