Prof Saim Yılmaz, MD
"Small submucosal fibroids with a stalk may be easily removed with histeroscopy"
What is endoscopic (hysteroscopic) surgery for myoma?
Endoscopic or hysteroscopic surgery is the removal of fibroids or the entire uterus with instruments inserted through the vagina, without making a large incision in the abdomen. Hysteroscopic myomectomy is an ideal form of surgery for small fibroids protruding from the inner lining of the uterus. However, it is not suitable if the fibroids are large or numerous or embedded in the uterus. Apart from fibroids, the entire uterus can also be removed from the vagina in some cases. In this surgery, called transvaginal hysterectomy, the uterus is taken out as a whole or in parts through an incision made at the top of the vagina. For this procedure, the uterus must not be very large and not adhered to the surrounding tissue. In some patients, laparoscopy can be performed to facilitate the procedure, and the uterus can be taken out of the vagina with the help of a few incisions in the abdomen. Transvaginal surgeries enable the patient to return to normal life in a shorter time compared to open abdominal surgeries. However, as in laparoscopic surgeries, the number of patients that can be performed is limited and the physician must have sufficient experience.
In conclusion, some fibroid patients may benefit from vaginal myomectomy and hysterectomy. However, it should be remembered that these operations are also invasive operations and carry the same risks as classical surgeries.