Hysteroscopic resection of fibroids
The fibroids projecting into the endometrial cavity (submucosal fibroids [link]) cause infertility. The removal of these fibroids is now possible with the use of an invasive hysteroscope – a resectoscope that uses electrical power to cut and burn the fibroids (as in conventional surgery).
Prior to surgery,the surgeon himself has to proceed to a careful preoperative evaluation by means of transvaginal ultrasound scan in order to know exactly the extent at which the fibroid projects into the uterine wall in order to avoid possible complications (uterine perforation) at the time of surgery. The condition is immediately treated and the patient is discharged after 1-2 hours.
Hysteroscopic resection of fibroids increases fertility, reduces pregnancy abortions and reduces blood flow to women with severe periods (menorrhagia).