Hysteroscopic Myomectomy

Minimally Invasive Removal of Fibroids Inside the Uterus

A hysteroscopic myomectomy is a minimally invasive surgical procedure used to remove fibroids (also called myomas) located inside the uterine cavity (submucosal fibroids). Unlike traditional surgery, it is performed using a hysteroscope inserted through the vagina and cervix, eliminating the need for abdominal incisions.

At Dr. Swetha Madhuri’s clinic, we specialize in hysteroscopic myomectomy to ensure safe, effective treatment with faster recovery and preserved fertility.

When is Hysteroscopic Myomectomy Recommended?

This procedure is particularly helpful for women with:
Heavy or prolonged menstrual bleeding
Fibroids inside the uterine cavity (submucosal fibroids)
Difficulty conceiving or recurrent miscarriages
Pelvic pain or pressure caused by fibroids
Fibroids interfering with fertility treatments (IUI/IVF)

Benefits of Hysteroscopic Myomectomy

No abdominal cuts or external scars
Outpatient / day-care procedure in most cases
Short recovery period (1–2 days)
Minimal blood loss during surgery
Uterus preserved – fertility remains intact
Significant relief from heavy bleeding and pain
Improved chances of conception for women planning pregnancy

The Procedure – Step by Step

Preparation – Procedure usually done under general or spinal anesthesia.
Insertion of Hysteroscope – A thin instrument with a camera is gently passed through the vagina and cervix into the uterus.
Fibroid Removal – Submucosal fibroids are identified and carefully removed using advanced instruments.
Completion – No stitches required; patient recovers quickly and is often discharged the same day.

Recovery After Hysteroscopic Myomectomy

Mild cramping or spotting may occur for a few days.
Most women return to daily activities within 24–48 hours.
Follow-up checkups ensure complete healing and normal uterine function.

Frequently Asked Questions

Is hysteroscopic myomectomy painful?

No, it is performed under anesthesia. Some mild discomfort or cramping may occur afterward.

How long does the procedure take?

Usually 30–60 minutes depending on the size and number of fibroids.

Can I get pregnant after hysteroscopic myomectomy?

Yes. By removing fibroids that interfere with implantation, fertility outcomes often improve.

Will the fibroids come back?

Fibroids can recur, but regular follow-up and timely treatment help manage them effectively.