It refers to the removal of the uterine fibroids through the hysteroscopy. Hysteroscopy helps to detect the fibroid in unexplained fertility, its localisation and in repeated pregnancy failures. Fibroids are the most common in the age of 30, estimating the rate of about at least 20 %. Although the causes for this fibroids are not known the high risk factors include increased estrogen levels, obesity and nulliparity (female with no child births).
There are many types of fibroids depending on the location of growth of the uterus like subserous or subperitoneal fibroids, interstitial or intramural fibroids, intraligamentary and submucous or pedunculated fibroids. The fibroids can result in many structural and functional changes within the uterus, tubes and the ovaries.
However 75% of the fibroids are asymptomatic, but some of the symptomatic fibroids show classical symptom of menorrhagia, metorrhagia, dysmenorrhea, dyspareunia, bearing down sensation, infertility, recurrent miscarriage, abdominal pain and abdominal enlargement. Complications of the fibroids include infections, sarcomatic changes, hemorrhages, torsion of the fibroids, necrosis and tissue degeneration. Although the medications are used to manage the fibroid case, it is only a palliative method adopted which can never prevent the fibroid complications. Hence there is an immediate need to be operated for the fibroids by the aid of hysteroscopy. In this procedure, usually fibroid of 2-3 cm is resected with the hysteroscope. Then the base of the fibroids are coagulate using electrocautery procedure to retain the normal lining of the uterus with the sole intention to make it reproductive.