What is Hysteroscopic Myomectomy?
Fibroids, also known as uterine myomas, fibromas or leiomyomas are the most common tumors of the female reproductive system. About 30-40% of all women above 35 years of age are affected with this condition.
When non-invasive methods such as hormonal therapy and pain-killers don't seem to work, surgery is considered the final option. This is where hysteroscopic myomectomy comes to the rescue. It is particularly helpful when the fibroids are bulging into the uterine cavity.
An instrument called the resectoscope (similar to a telescope) is inserted into the uterus. A small camera attached to the hysteroscope allows the surgeon to see what's inside and remove the fibroids easily with the help of special surgical instruments.
Why is Hysteroscopic Myomectomy Required?
Following are the reasons why a hysteroscopic myomectomy is a preferred approach:
- Hysteroscopic myomectomy is done on an outpatient (OPD) basis. The patient can return home on the same day after surgery.
- There are lesser chances of scarring after hysteroscopic myomectomy.
- The patient may require lesser time to recover in comparison to other techniques.
- Low chances of risks and complications.
Fibroids and its associated symptoms are the only reason why the patient may need to undergo a hysteroscopic myomectomy. The fibroids should be well projecting inside the uterine cavity to be considered for this procedure.
Symptoms of fibroids include -
- Unsuccessful pregnancies
- Excessive bleeding from the uterus
Other uncommon causes to be considered before hysteroscopic myomectomy include:
- Leukorrhea: Abnormal whitish/yellowish discharge from the vagina
- Dysmenorrhea: Painful menstrual cycles with cramps
- Necrotic leiomyoma: following uterine fibroid embolization
- When the tissue structure seems uncertain in pelvic imaging.
However, hysteroscopic myomectomy is contraindicated in the following situations:
- In the presence of an acute pelvic infection
- During pregnancy
- Uterine or cervical cancer
- If you are suffering from any other medical condition - heart disease, bleeding disorders, etc.
The gynecologist will evaluate the condition of the uterus and then go ahead with the surgery after confirming her suspicions:
Risks and Complications related to Hysteroscopic myomectomy
The complications of hysteroscopic myomectomy can be categorized into:
- General complications
- Complications specific to hysteroscopic myomectomy