Hysteroscopic Myomectomy
Overview
This procedure uses a device called a "hysteroscope" (also known as a "resectoscope") to remove one or more fibroids inside your womb. A fibroid is a form of tumor that's rarely cancerous.
Preparation
To begin, you lie on an exam table that supports your legs and feet. We may give you medicine to get you relaxed and numb. We carefully place a device called a "speculum" into your vagina. The speculum holds your vagina open so we can reach your cervix. That's the lower part of your womb. We may also need to enlarge the opening in the center of your cervix. We do this with a thin rod called a "dilator."
Fibroid removal
Now we guide the hysteroscope through your vagina and cervix. The hysteroscope is a thin tube with a light and a camera. It shows the inside of your womb on a monitor. It also has a space that we can pass things through. We send air or fluid through the hysteroscope to expand your womb so we can see more clearly. We also pass a cutting device through the scope. That may be a loop of wire. We charge the wire with an electric current. As we pass it across the wall of the womb, it cleanly removes the fibroid.
Conclusion
When we're done, we watch you for a brief time, then you can go home. Follow your care tips for a safe recovery. We'll follow up with you soon about any next steps we need to take.
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