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Operative Hysteroscopy for Uterine Fibroid Treatment

Our experts specialize in office-based hysteroscopy.

Hysteroscopic Endometrial Ablation and Hysteroscopic Resection

At the University of Chicago Medicine, our gynecology experts are uniquely skilled in operative hysteroscopy for uterine fibroid treatment. Using specialized tools and techniques, our gynecologists perform minimally invasive procedures in the clinic setting with minimal anesthesia. These outpatient procedures provide effective treatment in a quick procedure, and the patient returns home the same day with minimal recovery time and no scarring.

What is operative hysteroscopy?
During an operative hysteroscopy procedure, a gynecologist inserts a thin tube, called a hysteroscope, through the vagina and cervix into the uterus. The cervix may be dilated to minimize discomfort. The hysteroscope, only a few millimeters in diameter, is equipped with a miniature camera and light. As the camera projects video images on a digital screen, the gynecologist is able to see inside the uterus and use specialized instruments to remove or destroy fibroid tissue. In some cases, diagnostic hysteroscopy precedes the operative procedure, allowing the gynecologist to examine and treat small fibroid tumors in a single visit.

Hysteroscopic Procedures for Uterine Fibroid Treatment

Hysteroscopic Endometrial Ablation
(Hysteroscopic Fibroid Ablation)

Hysteroscopic endometrial ablation is an effective treatment option for uterine fibroid tumors in women who will not want to become pregnant after treatment. Performed under local or general anesthesia in just a few minutes, this technique applies radiofrequency energy to heat and destroy the lining of the uterus (endometrium). Women who undergo hysteroscopic fibroid ablations typically have permanent symptom relief with minimal or no periods. The ovaries and the uterus remain in tact. However, the endometrium sheds, which eliminates the possibility of pregnancy.

Hysteroscopic Resection

For women with submucosal fibroid tumors, hysteroscopic fibroid resection may be an option. During the procedure, a gynecologist uses specialized tools to extract fibroid tissue from the uterus. Hysteroscopic resection preserves the form and function of the uterus, making it a safe option for women who may consider pregnancy after treatment.

Hysteroscopic Myomectomy
Hysteroscopic resection may also be performed to remove polyps or for diagnostic purposes, such as a dilation and curettage (D&C) procedure. Hysteroscopic myomectomy is the particular type of hysteroscopic resection performed to remove fibroid tumors. If operative hysteroscopy is not an option, myomectomy may be performed using laparoscopic, robotic or traditional surgical techniques.

Learn more about understanding fibroid treatment options.