Hysteroscopic submucosal fibroid resection is a surgical procedure used to remove submucosalfibroids from the uterus. Submucosal fibroids are a type of uterine fibroid that grow just underneath the inner lining of the uterus (endometrium) and can protrude into the uterine cavity. These fibroids can lead to various gynecological symptoms, including heavy menstrual bleeding, pelvic pain, and fertility issues. Hysteroscopic resection is a minimally invasive technique that allows for the removal of these fibroids while preserving the uterus.

Here’s an overview of the hysteroscopic submucosal fibroid resection procedure:

1. Preparation: Prior to the procedure, you may undergo several assessments, including pelvic exams, ultrasounds, and hysteroscopy to confirm the presence, size, and location of the submucosal fibroids. This information helps the healthcare provider plan the surgical approach.

2. Anesthesia: Hysteroscopic submucosal fibroid resection is typically performed as an outpatient procedure and often requires local anesthesia or sedation. In some cases, general anesthesia may be used.

3. Hysteroscope Insertion: A hysteroscope, a thin, lighted tube with a camera at the end, is inserted through the vagina and cervix and into the uterine cavity. This allows the healthcare provider to visualize the submucosal fibroids on a monitor.

4. Fibroid Resection: Specialized instruments are inserted through channels in the hysteroscope to remove the submucosal fibroids. These instruments may include loops, scissors, or wire electrodes. The fibroids are carefully excised from the uterine lining, and the tissue is often simultaneously suctioned out.

5. Confirmation: The hysteroscope is used to confirm that all submucosal fibroids have been successfully removed. The healthcare provider will ensure that the uterine cavity is free from any remaining fibroids.

6. Recovery: After the procedure, you will be monitored for a short period to ensure there are no immediate complications. You may experience some cramping, mild vaginal bleeding, or discharge, which is normal and usually subsides within a few days.

7. Post-Procedure Care: Your healthcare provider will provide instructions for post-operative care, including restrictions on activities like sexual intercourse, tampon use, or heavy lifting. You may also be prescribed medications to manage pain or prevent infection.

Hysteroscopic submucosal fibroid resection is an effective treatment option for women with symptomatic submucosal fibroids. It can alleviate symptoms such as heavy menstrual bleeding and pelvic pain and improve fertility outcomes in some cases. However, as with any surgical procedure, there are potential risks and complications, including infection, bleeding, injury to the uterus, or fibroid recurrence.

Your healthcare provider will discuss the benefits, risks, and expected outcomes of hysteroscopic submucosal fibroid resection with you before the procedure. It’s crucial to follow their post-operative instructions and attend any follow-up appointments to ensure a smooth recovery and address anyconcerns or questions you may have.