Hysteroscopic resection of a submucosal fibroid: hints and tips for a successful procedure.
Thomas Mosedale, Ee Thong Lim, Nikolaos Tsampras
✦ AI-curated · Sources linked
Case in brief
A 41-year-old woman with subfertility and heavy menstrual bleeding was diagnosed with a 40mm submucosal fibroid. Initial hysteroscopic resection removed about 70% of the fibroid but was halted due to poor visibility. After treatment with Prostap, a second procedure three months later successfully resected the remaining fibroid. This case emphasizes the importance of preoperative imaging and careful planning.
Diagnostic / clinical pearl
Preoperative MRI is crucial for assessing the feasibility of hysteroscopic resection, especially for larger fibroids that may require a staged approach.
Why it matters
This case underscores the importance of meticulous surgical planning and technique in managing submucosal fibroids, which can enhance patient outcomes and minimize complications.