uk-drcog MCQ (SBA): Fibroids - Surgical Management

A 40-year-old woman presents to the GP with worsening pelvic pain and heavy menstrual bleeding. She has completed her family. An ultrasound shows a 10 cm intramural fibroid distorting the endometrial cavity and two smaller subserosal fibroids. Medical management has been ineffective. She is keen on a definitive solution. Which is the single most appropriate surgical option to discuss?