What is it?
Removal of small fibroids through the vagina.
Most myomectomies are performed through an abdominal incision (cut) into the uterus and removing fibroids.
The uterus is repaired, usually with sutures after the procedure.
Although for fibroid is on a stalk (pedunculated) it is not necessary to cut into the uterus, they can be removed through the vagina without an abdominal incision during a procedure called hysterosopic myomectomy which involves a special instrument called a hysteroscope.
What types of fibroids does it treat?
Can remove only small submucous fibroids.
This technique is primarily useful for women with bleeding or pregnancy-related problems as there is usually little change in the size of the uterus with this approach.
How is it done?
A small hysteroscope (telescope) is inserted into the womb through the vagina and cervix.
A laser or wire loop is then inserted through the hysteroscope to remove the fibroids.
You will be given a general or local anaesthetic and will probably be able to go home the same day.
What is the recovery period afterwards?
It should take 2 to 7 days to recover at home.
Will the fibroids come back?
There is a 20 to 30% chance of fibroids growing back.
Will I still be able to get pregnant?
Hysteroscopic myomectomy does not usually interfere with fertility.
What are the advantages of this procedure?
No incisions; recovery is less than a week; little scarring.
You will still have your womb and may be able to have children.
What are the possible complications?
Possible damage to the womb wall.
What are the other disadvantages?
Symptoms may continue; one study showed that after three years, heavy bleeding had returned in 30% of women who had a hysteroscopic myomectomy.