Hysteroscopic resection of submucosal uterine fibroids

Organ-preserving treatment of uterine fibroids without incisions

Submucosal uterine fibroid is a benign growth that grows into the uterine cavity. Even small nodes of this localization can cause heavy bleeding, anemia, and become an obstacle to pregnancy. At St. Luke’s Clinic, we offer a modern solution — hysteroscopic myomectomy (resection). This is a “jewelry” operation that allows the removal of the node through natural passages, preserving the uterus and the woman’s reproductive health.

What is a submucosal node and why should it be removed?

Unlike other types of fibroids, a submucosal node deforms the uterine cavity.
Main symptoms and risks:

  • Prolonged and heavy menstruation, leading to a decrease in hemoglobin (anemia).
  • Uterine bleeding in the middle of the cycle.
  • Pulling pains in the lower abdomen.
  • Infertility and miscarriage: the node acts like an intrauterine device, preventing embryo implantation or provoking miscarriages.

Advantages of hysteroscopic resection

Previously, for such diagnoses, hysterectomy was often offered. Today, thanks to hystero-resectoscopy, we remove only the tumor, leaving the healthy organ intact.

  1. No incisions: The instrument is inserted through the cervix. No scars remain on the abdomen.
  2. Fast recovery: This is “day surgery”. The very next day, the patient can return home to her usual life.
  3. Preservation of fertility: After the restoration of the mucous membrane (endometrium), the woman can plan a pregnancy.
  4. Painlessness: The operation is performed under general intravenous anesthesia (medicated sleep).

How is the operation performed at St. Luke’s Clinic?

Our surgeons use a modern hystero-resectoscope — an optical device with a loop electrode. Under the control of a high-resolution video camera, the doctor cuts the node layer by layer, coagulating (cauterizing) the vessels, which prevents blood loss.

Stages:

  1. Anesthesia (the patient sleeps and feels no pain).
  2. Insertion of the resectoscope and examination of the uterine cavity.
  3. Removal of the submucosal node.
  4. Control examination of the node bed.
  5. Waking the patient from anesthesia.

Indications for surgery

  • Presence of a submucosal node of any size (usually up to 4-5 cm for one-stage removal).
  • Clinical manifestations: bleeding, anemia, pain.
  • Infertility or preparation for IVF (in vitro fertilization).

Why choose us?

At St. Luke’s Clinic (Banchery village), operations are performed by experienced gynecological surgeons using expert-class equipment. We provide a full cycle: from accurate ultrasound diagnostics and preoperative preparation to a comfortable stay in a European-level hospital.

Get rid of the problem while preserving women’s health. Schedule a consultation with a gynecologist to choose a treatment strategy.

Operations and procedures in gynecology