hysteroscopic myomectomy

When ultrasound and diagnostic hysteroscopy show that there is a small to medium sized fibroid (typically < 5 cm diameter) projecting into the uterine cavity (submucous fibroids), hysteroscopic myomectomy (excision) becomes an attractive treatment option. It is usually carried out using a special operating hysteroscope called a resectoscope. Surgery involves slicing the fibroid into small pieces under visual control which can then be removed from the womb. Hysteroscopic myomectomy is usually very successful, and many women have avoided hysterectomy or major open surgery as a result.

As with hysteroscopic polypectomy, there is no reason why hysteroscopic myomectomy should not be a day-case procedure in most cases. In the case of small fibroids, it may be possible to do undergo the surgery under light sedation and local anaesthesia without the need for a general anaesthetic.