What is involved in hysteroscopic myomectomy?

Hysteroscopic myomectomy is an underutilized uterus-sparing technique that removes problematic fibroids without an incision. This procedure is performed as an outpatient, takes less than an hour, and requires essentially no recovery.

Here’s how hysteroscopic myomectomy works: Most women are familiar with dilatation and curettage (D&C), a procedure in which the cervical opening is made slightly larger in order to put an instrument into the uterine cavity to scrape away the lining of the uterus. It would be nice if a simple D&C could eliminate fibroids, but scraping the lining of the uterus to remove a fibroid is like raking leaves and expecting to remove the boulder in the ground. D&Cs are useful for evaluating bleeding, but are not really meant to treat the bleeding.

When I perform a D&C, it is always accompanied by hysteroscopy, in which I slide a slender scope with a camera and light attached to it through the cervix in order to see what’s going on inside the uterus. If a fibroid is present, I insert a small instrument through the hysteroscope to cut the fibroid into small pieces, a process known as fibroid resection or morcellation. The small pieces of fibroid than are easily removed. The patient goes home that day, fibroid-free.

In this video, obstetrician and gynecologist Dr. Lauren Streicher explains more about hysteroscopic myomectomy.

Continue Learning about Uterine Fibroids Treatment

Are more treatments being developed for uterine fibroids?
Honor Society of Nursing (STTI)Honor Society of Nursing (STTI)
Yes. Researchers are looking into other ways to treat uterine fibroids. The following methods are no...
More Answers
How are uterine fibroids treated?
Dr. John C. Lipman, MDDr. John C. Lipman, MD
If a woman has fibroids but does not have symptoms, no treatment is necessary. For mild symptoms, li...
More Answers
What Is a Single-Site Robotic Hysterectomy?
What Is a Single-Site Robotic Hysterectomy?
Dr. Ricardo Estape - What Are the Benefits of Robotic Surgery for a Hysterectomy?
Dr. Ricardo Estape - What Are the Benefits of Robotic Surgery for a Hysterectomy?

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.