Hysteroscopic Myomectomy
Hysteroscopic myomectomy is a procedure used to remove fibroids that project into the cavity of the uterus. Instruments are passed through the vagina and cervix, so there are no external cuts or scars. The aim is to relieve symptoms by removing the fibroids while preserving the uterus and surrounding healthy tissue.
When the Procedure May Be Recommended
This procedure is most effective for fibroids that grow within or into the uterine cavity. Suitable fibroids commonly include:
Submucosal fibroids – fibroids that develop in the inner wall of the uterus and protrude into the cavity
Intracavitary fibroids – fibroids located almost entirely within the uterine cavity
These fibroids are often responsible for:
Heavy or prolonged menstrual bleeding
Bleeding between periods
Fertility difficulties
Recurrent miscarriage in some cases
Before surgery, imaging such as pelvic ultrasound or diagnostic hysteroscopy is used to confirm that the fibroid’s size and position are appropriate for hysteroscopic removal.
Advantages of Hysteroscopic Myomectomy
Hysteroscopic surgery offers several advantages compared with traditional fibroid surgery.
No external incisions - the procedure is performed through natural pathways, leaving no abdominal scars.
Faster recovery - most patients return to normal activities within a few days
Uterus preservation - only the fibroid is removed, helping maintain fertility and uterine function
Effective symptom relief - many women experience significant improvement in heavy bleeding and pelvic symptoms
Day-case surgery - the procedure is typically completed as a same-day operation, allowing recovery at home
What to Expect
Consultation, assessment and planning
Your consultation with Mr Richard Flint includes a detailed review of symptoms, examination, and imaging to confirm whether hysteroscopic surgery is suitable.
The operation
The procedure is usually performed under general anaesthetic and takes around 30–60 minutes.
A sterile fluid gently expands the uterine cavity and a thin telescope called a hysteroscope is passed into the uterus to provide a clear view on a high-definition screen. Using specialised surgical instruments, the fibroid tissue is carefully removed from the lining of the womb.
Recovery
Patients typically go home the same day. Mild cramping and light discharge are common for a few days following surgery.
Most women return to normal activities within several days. It is usually recommended to avoid tampons, intercourse, and swimming for a short period while the uterus heals.
Frequently Asked Questions
Is hysteroscopic fibroid removal painful?
You will be asleep during the procedure. Afterwards, some cramping similar to period pain is common but usually settles with simple pain relief.
Can I get pregnant after hysteroscopic fibroid removal?
In many cases, removing intracavitary fibroids can improve fertility and implantation. Your individual circumstances will be discussed during consultation.
Can fibroids return after surgery?
Fibroids removed during the procedure do not grow back, but new fibroids may develop over time in some women.
Are there risks?
As with any surgery, there are small risks including bleeding, infection, or uterine injury. These risks will be fully discussed during your consultation.