Hysteroscopy and the treatment of uterine fibroids

Best Pract Res Clin Obstet Gynaecol. 2015 Oct;29(7):920-9. doi: 10.1016/j.bpobgyn.2015.03.014. Epub 2015 Apr 1.

Abstract

Fibroids or (leio)myomas are benign tumours that very commonly derive from smooth muscle cells of the myometrium. They are the most common indication for a hysterectomy. However, in women desirous of preservation of their uterus or of their fertility, a myomectomy may be a more appropriate form of surgical therapy. The submucous variant is often associated with heavy menstrual bleeding or subfertility. It can be removed with hysteroscopic surgery. Refinements of hysteroscopic surgical techniques have resulted in a better ability to remove submucous myomas. The state of the art of such hysteroscopical techniques and instrumentation to treat submucous myomas and what has been proven is discussed.

Keywords: fibroids; hysteroscopic morcellation; hysteroscopic surgery; hysteroscopy; resectoscopy; submucous myomas.

MeSH terms

  • Electrocoagulation
  • Female
  • Humans
  • Hysteroscopy* / instrumentation
  • Hysteroscopy* / methods
  • Laser Therapy
  • Leiomyoma / diagnosis
  • Leiomyoma / surgery*
  • Neoplasm Recurrence, Local
  • Postoperative Care
  • Preoperative Care
  • Treatment Outcome
  • Uterine Neoplasms / diagnosis
  • Uterine Neoplasms / surgery*