Objective: The treatment of uterine myoma with pretreatment of uterine arteries embolization followed by laparoscopic myomectomy is presented. Design: Case report. Setting: Department of Obstetrics and Gynaecology 1st Medical Faculty of Charles University and General Faculty Hospital in Prague. Subject and Method: Forty two years old woman with uterine myoma was „pretreated“ with uterine arteries embolization followed by laparoscopic myomectomy next day. The reason for this procedure was to improve in short period conditions for surgery and defi nitively solve uterine pathology. Conclusion: The „pretreatment“ with uterine arteries embolization improves basically conditions and effect of uterine myoma surgery. This „two step procedure“ could be recommended mainly for cases of large and vascularizated myomas.

        Key words: děložní myom, laparoskopie, embolizace uterinních arterií