“…Preoperative treatment of large leiomyoma using GnRH agonists has been advocated [9,10,11], but the cost-efficacy ratio of this strategy has been discussed [12]. Use of glycine as a distension medium with this technique is associated with risks of fluid overload, hypoosmolality and hyponatriemia, first described as the transuretral resection of the prostate (TURP) syndrome [13,14,15,16,17,18,19].…”