When is hysteroscopic myomectomy needed?

As the name of the procedure suggest, hysteroscopic myomectomy is needed when previous examinations (for example ultrasound) diagnosed myomas (also known as fibroids) in the uterus.

Myomas are a benign tumors of the uterus. Their size can vary between only a few millimeters and several kilograms.

The small ones are unlikely to cause symptoms while the big myomas can cause severe, troubling problems: pain, abnormal bleeding or even anemia.

How does the procedure go?

Hysteroscopic myomectomy is a minimally invasive procedure, done with a thin, flexible endoscope. It’s usually performed as an outpatient surgery because it does not involve incision on the abdomen.

Your doctor aims to preserve the myometrium (the muscles of the uterus) and every surrounding tissue and only removes the myoma(s). This speeds up the healing process of your body and you can recover at a much faster rate afterwards.

After anesthesia your surgeon inserts a special endoscopic tool (called as a resectoscope) into your sterilized uterus and removes the myomas. If the myomas are in uterine wall or the surface of the uterine, laparoscopic myomectomy will need perform.

The whole procedure takes up about 30 minutes to complete. After a short period of observation you can leave Medicover Hospital to continue your recovery in your own home.

What are the risks of the operation?

There are some risks associated with the operation however these are only mild and can be treated well:

  • Allergic reaction to the medications used to anesthesia
  • Bleeding, damaged uterine wall
  • Pelvic inflammation

However if you have symptoms, or suspect a myoma you should book an appointment for a gynecological consultation. Postponing the surgery could cause more harm than the potential risks of doing it.