Hysteroscopic Removal of Fibroids

Hysteroscopic Removal of Fibroids: An Incision-Free Solution

Heavy, prolonged periods, disruptive bleeding between cycles, and pelvic pain can significantly impact your quality of life. For many women, these symptoms are caused by uterine fibroids located within the cavity of the womb. In the past, treatment may have required invasive surgery, but modern medicine offers a profoundly effective and minimally invasive alternative.

At Happiher, Dr. Manou Kaur specialises in the hysteroscopic removal of fibroids (also known as hysteroscopic myomectomy). This advanced procedure is performed without any external incisions, offering a swift path to symptom relief and a remarkably fast recovery.

What is a Hysteroscopic Myomectomy?

Hysteroscopic myomectomy is a “keyhole” surgery performed inside the uterus. Instead of making incisions on your abdomen, the entire procedure is carried out through the body’s natural pathways.

A hysteroscope—a very thin, lighted telescope—is gently passed through the vagina and cervix into the uterine cavity. This provides a clear, real-time view of the inside of your womb on a high-definition monitor. A specialized instrument, called a resectoscope, is then used to precisely shave away and remove the fibroid tissue piece by piece.

This technique is designed to be as non-invasive as possible, treating the problem directly at its source while leaving the healthy uterine wall and surrounding pelvic organs completely untouched.

Who is an Ideal Candidate for This Procedure?

This highly specialised procedure is incredibly effective, but it is specifically for a certain type of fibroid. You are likely an ideal candidate if your symptoms are caused by:

• Submucosal Fibroids: These are fibroids that are located on the inner wall of the uterus and bulge into the uterine cavity. They are the most common cause of heavy bleeding and fertility issues related to fibroids.
• Intracavitary Fibroids: These fibroids grow almost entirely within the uterine cavity.

The size and exact position of the fibroid will be carefully assessed with imaging (like an ultrasound) or a diagnostic hysteroscopy to confirm that this is the safest and most effective treatment path for you.

Key Advantages of the Hysteroscopic Approach

Choosing this method offers significant benefits over traditional surgical options:

• No Abdominal Incisions or Scars: The entire procedure is internal, preserving your body’s exterior.
• Rapid Recovery: With no external wounds to heal, recovery is significantly faster. Most women are back to their normal routines within a few days.
• Uterus Preservation: The procedure only removes the fibroid, leaving the uterus intact. This is an excellent option for women who wish to preserve their fertility.
• Effective Symptom Relief: By removing the fibroid causing the issue, most women experience a dramatic reduction in heavy bleeding and other related symptoms.
• Day-Case Procedure: In most cases, this is performed as a day-case surgery, allowing you to recover in the comfort of your own home.

Your Patient Journey: What to Expect

We are committed to making your experience as smooth and comfortable as possible.

1. Consultation and Diagnosis: Your journey starts with a detailed consultation and diagnostic imaging to precisely map the fibroid(s) within your uterus and confirm that you are a suitable candidate.
2. The Procedure: Performed under general anaesthesia, the procedure is typically quick, often taking 30 to 60 minutes. A sterile fluid is used to gently expand the uterus for a clear view while the fibroid tissue is carefully removed.
3. Immediate Post-Operative Care: After the procedure, you will rest in a recovery area for a few hours. It is normal to experience some cramping, similar to period pain, and a watery discharge, both of which will subside.
4. Recovery at Home: We will provide detailed aftercare instructions. Most patients manage any discomfort with simple pain relief and can return to work and light activities within a few days. We advise avoiding intercourse, tampons, and swimming for a few weeks to allow the uterine lining to fully heal.

Frequently Asked Questions (FAQ)

1. Is the procedure painful?
   You will be under general anaesthesia and feel no pain during the procedure. Post-operative cramping is expected but is well-managed with standard pain medication.
2. Can I get pregnant after this procedure?
   Yes. In fact, for women whose fertility is impacted by a submucosal fibroid, removing it can significantly improve the chances of successful conception and a healthy pregnancy.
3. Will the fibroids grow back?
   The fibroid that is treated is removed permanently. However, this procedure does not prevent new, different fibroids from potentially growing in the future.
4. What are the risks?
   This is a very safe procedure. As with any surgery inside the uterus, there are small risks, including infection, perforation, and issues related to the fluid used to expand the uterus. Dr. Kaur will discuss all potential risks with you during your consultation.

Regain Control of Your Cycle and Your Life

You don’t have to live with the disruptive symptoms of uterine fibroids. An effective, incision-free solution is available.