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Hysteroscopic Myomectomy: Minimally Invasive Fibroid Removal

Hormone Balance

What is Hysteroscopic Myomectomy?

Hysteroscopic myomectomy is a minimally invasive procedure used to remove fibroids from inside the uterus. During this procedure, a hysteroscope, a thin, lighted tube, is inserted through the vagina and cervix to provide clear visualization of the uterus. The doctor uses the hysteroscope to identify and remove fibroids, improving symptoms without the need for large incisions.

Why is Hysteroscopic Myomectomy Performed?

Fibroids are non-cancerous tumors that develop in the uterine wall. Affecting 30-40% of women, fibroids are often asymptomatic and do not require treatment. However, in cases where fibroids cause issues such as heavy menstrual bleeding, pelvic pain, infertility, or recurrent miscarriages, a hysteroscopic myomectomy may be recommended for symptom relief.

The primary goal of the procedure is to remove intramural, submucosal, or pedunculated fibroids that are located inside the uterus, as these can significantly affect quality of life.

What to Expect During the Procedure

    1. Duration: The procedure typically lasts 30 minutes to an hour.
    2. Minimally Invasive: The surgery is performed using small incisions, allowing for faster recovery compared to traditional fibroid removal surgery.
    3. Anesthesia: Patients are usually given local anesthesia or general anesthesia depending on the extent of the procedure and patient preference.
    4. Recovery Time: Most women can return home the same day after the surgery.

Benefits of Hysteroscopic Myomectomy

    1. Improved Menstrual Cycles: Women often experience lighter, more regular periods within 2-3 months post-surgery.
    2. Improved Fertility: Removal of fibroids can help enhance fertility for women struggling to conceive.
    3. Reduced Symptoms: Symptoms such as pelvic pain, abnormal bleeding, and pressure are greatly relieved after the procedure.

Post-Surgery Expectations

    1. Mild Cramping: It’s common to experience mild cramping or spotting for a few days following the procedure. This typically resolves within a week
    2. Recovery: Patients usually return to their normal routine within a few days. Any heavy lifting or strenuous activities should be avoided for up to six weeks.
    3. Follow-Up: A follow-up visit will be scheduled to ensure proper healing and to assess the success of the procedure.

Risks of Hysteroscopic Myomectomy

Like all surgical procedures, hysteroscopic myomectomy carries some risks, though they are rare:

    1. Excessive Bleeding: While uncommon, there may be some bleeding during or after the procedure.
    2. Infection: There is a minimal risk of infection at the surgical site.
    3. Uterine Perforation: A very rare risk (about 1-2 in 1000) is uterine perforation, where a small hole is made in the uterus during the procedure.
    4. Excessive Fluid Absorption: In 1-5% of cases, excessive absorption of the fluids used during surgery can occur but is typically manageable.

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