{"id":987512168,"date":"2025-10-08T18:06:56","date_gmt":"2025-10-08T15:06:56","guid":{"rendered":"https:\/\/www.drsadimankiykac.com\/histeroskopik-myomektomi-rahim-icinde-miyomlarin-kapali-yontemle-cikarilmasi\/"},"modified":"2026-07-22T09:30:29","modified_gmt":"2026-07-22T06:30:29","slug":"hysteroscopic-myomectomy-removal-of-fibroids-from-the-uterus-using-a-minimally-invasive-technique","status":"publish","type":"post","link":"https:\/\/www.drsadimankiykac.com\/en\/hysteroscopic-myomectomy-removal-of-fibroids-from-the-uterus-using-a-minimally-invasive-technique\/","title":{"rendered":"Hysteroscopic Myomectomy: Removal of Fibroids from the Uterus Using a Minimally Invasive Technique"},"content":{"rendered":"

Hysteroscopic Myomectomy<\/strong><\/h1>\n

Uterine fibroids<\/strong>, also known as leiomyomas<\/strong>, are one of the most common health conditions affecting women. These benign tumors often develop without causing noticeable symptoms; however, they can lead to a variety of issues, including menstrual irregularities and infertility<\/strong>.<\/p>\n

One of the most effective treatment options in modern medicine for uterine fibroids is hysteroscopic myomectomy.<\/strong> This procedure involves the removal of fibroids using a camera-guided technique inside the uterus. In this article, we will explore this surgical method in detail and explain it in simple terms.<\/p>\n

What Is Hysteroscopic Myomectomy?<\/strong><\/h2>\n

Hysteroscopic myomectomy<\/strong> is a minimally invasive surgical procedure that involves accessing the uterine cavity through the vaginal route, without the need for an abdominal incision. During the procedure, a device known as a hysteroscope<\/strong>\u2014a thin instrument equipped with a camera<\/strong>\u2014is inserted through the cervix and into the uterus to visualize the fibroids <\/strong>located within the uterine cavity. The fibroids are then removed using specialized surgical instruments. This technique is typically preferred for submucosal fibroids<\/strong>, which are fibroids that grow toward the inner cavity of the uterus, within the endometrial lining. Submucosal fibroids often cause heavy menstrual bleeding<\/strong>, clotting issues, or difficulties in conceiving<\/strong>.<\/p>\n

Who Is a Candidate For Hysteroscopic Myomectomy?<\/strong><\/h2>\n

Hysteroscopic myomectomy<\/strong> is not suitable for all types of fibroids.<\/p>\n

It is particularly recommended for:<\/p>\n

– Submucosal fibroids<\/strong> that grow toward the uterine cavity<\/p>\n

– Patients experiencing excessive menstrual bleeding (menorrhagia)<\/strong><\/p>\n

– Women facing infertility issues (difficulty in conceiving<\/strong>)<\/p>\n

– Individuals with a history of recurrent miscarriages<\/strong><\/p>\n

However, this technique is not appropriate<\/strong> for fibroids that grow toward the outer surface of the uterus (subserosal fibroids<\/strong>) or those located within the muscle layer (intramural fibroids<\/strong>). In such cases, alternative approaches, such as laparoscopic surgery<\/strong> or open surgical procedures (laparotomy<\/strong>), are considered.<\/p>\n

How Is the Procedure Performed?<\/strong><\/h2>\n

The surgery is performed under general anesthesia or regional anesthesia and typically lasts 15 to 30 minutes. The steps involved are as follows:<\/p>\n

    \n
  1. Insertion of the Hysteroscope<\/strong>:<\/li>\n<\/ol>\n

    The surgeon reaches the cervix through the vagina and gently inserts the hysteroscope.<\/p>\n

      \n
    1. Visualization of the Uterine Cavity<\/strong>:<\/li>\n<\/ol>\n

      The uterine cavity is filled with a special distension medium to separate the walls, allowing for a clear view through the camera.<\/p>\n

        \n
      1. Removal of the Fibroid<\/strong>:<\/li>\n<\/ol>\n

        Using a resectoscope (an electrosurgical instrument) or a morcellator (a device that fragments tissue), the fibroid is carefully excised and removed.<\/p>\n

          \n
        1. Inspection and Cleaning<\/strong>:<\/li>\n<\/ol>\n

          Hemostasis (control of bleeding) is ensured, and the uterine cavity is thoroughly cleaned.<\/p>\n

          Recovery Process<\/strong><\/h2>\n

          Hysteroscopic myomectomy<\/strong> is a minimally invasive procedure, and as a result, the recovery period following the surgery is quite short.<\/strong><\/p>\n

          Most patients are discharged on the same day or may need to stay in the hospital for just one night.<\/p>\n

            \n
          • After the procedure, it is common to experience mild pelvic pain and some spotting<\/strong> for a few days.<\/li>\n
          • Most patients can return to their daily activities within a week.<\/li>\n
          • It is typically recommended to avoid sexual intercourse and the use of tampons for two weeks post-procedure.<\/li>\n
          • Menstrual cycles usually normalize within 4 to 6 weeks. To aid in the healing of the endometrial lining, the physician may prescribe certain medications.<\/li>\n
          • A follow-up examination is generally scheduled for 4 to 6 weeks after the procedure.<\/li>\n<\/ul>\n

            What Are the Advantages?<\/strong><\/h2>\n

            Hysteroscopic myomectomy has several advantages over traditional open surgery:<\/p>\n

              \n
            • No external incisions or scar tissue <\/strong><\/li>\n
            • Shorter recovery time<\/strong> and reduced hospital stays<\/li>\n
            • Preservation of the uterus,<\/strong> allowing for continued fertility potential<\/li>\n
            • Less postoperative pain<\/strong> and a lower risk of infection<\/strong><\/li>\n
            • Direct visualization<\/strong> of the targeted lesion during the procedure Additionally, this technique can effectively treat intrauterine adhesions (synechiae) and endometrial polyps.<\/li>\n<\/ul>\n

              Possible Risks and Complications<\/strong><\/h2>\n

              Hysteroscopic myomectomy<\/strong>, like any surgical procedure, carries certain risks, although these incidents are very rare.<\/p>\n

              The potential risks include:<\/p>\n

                \n
              • Uterine perforation<\/strong> (accidental puncture of the uterine wall)<\/li>\n
              • Bleeding or infection<\/strong> – Intrauterine adhesions (Asherman\u2019s syndrome)<\/li>\n
              • Complications related to anesthesia<\/strong><\/li>\n<\/ul>\n

                These risks are greatly reduced when the surgery is performed by an experienced gynecologic surgeon. Regular postoperative follow-ups are essential to minimize the likelihood of complications.<\/p>\n

                Pregnancy After Hysteroscopic Myomectomy<\/strong><\/h2>\n

                This procedure is a fertility-sparing surgical method<\/strong> that maintains the structural integrity of the uterus. Fibroids can interfere with embryo implantation<\/strong> and raise the risk of miscarriage<\/strong>. For this reason, hysteroscopic myomectomy is often performed on women who are planning to undergo infertility treatments. In most cases, pregnancy can be attempted about three months after the surgery<\/strong>. However, this time frame may vary depending on individual healing<\/strong> processes and should be discussed with a physician.<\/p>\n

                Comparison With Alternative Methods<\/strong><\/h2>\n\n\n\n\n\n\n\n
                Method<\/strong><\/td>\nApproach<\/strong><\/td>\nIncision<\/strong><\/td>\nSuitable Fibroid Type<\/strong><\/td>\nRecovery Time<\/strong><\/td>\n<\/tr>\n<\/thead>\n
                Hysteroscopic Myomectomy<\/td>\nVaginal (natural route)<\/td>\nNone<\/td>\nSubmucosal<\/td>\n3\u20137 days<\/td>\n<\/tr>\n
                Laparoscopic Myomectomy<\/td>\nSmall abdominal incisions<\/td>\n3\u20134 small incisions<\/td>\nIntramural \/ Subserosal<\/td>\n1\u20132 weeks<\/td>\n<\/tr>\n
                Open Myomectomy<\/td>\nAbdominal incision<\/td>\n8\u201310 cm incision<\/td>\nLarge or multiple fibroids<\/td>\n2\u20134 weeks<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

                This table helps both patients and physicians decide on the best surgical plan.<\/p>\n

                Conclusion<\/strong><\/h2>\n

                Hysteroscopic myomectomy<\/strong> is a safe and effective minimally invasive procedure<\/strong> for women who want to preserve their fertility<\/strong> while dealing with issues caused by intrauterine fibroids<\/strong>. When carried out by an experienced gynecologic surgeon<\/strong>, this procedure offers high success rates, minimal discomfort, and a quick return to normal activities<\/strong>.<\/p>\n

                Frequently Asked Questions (FAQ)<\/strong><\/h2>\n
                  \n
                1. Can fibroids recur<\/strong> after a hysteroscopic myomectomy?<\/li>\n<\/ol>\n

                  \u00a0Yes, in individuals with a few number of small number of fibroids, new ones may develop over time. However, the fibroids that have been removed typically do not come back.<\/p>\n

                    \n
                  1. Will my menstrual cycle change after the surgery?<\/li>\n<\/ol>\n

                    Some irregularities may occur during the first one or two cycles post-surgery, but menstrual bleeding usually decreases, and the cycle typically becomes regular again.<\/p>\n

                      \n
                    1. When can I resume sexual intercourse<\/strong> after the procedure?<\/li>\n<\/ol>\n

                      It is generally advised to wait about two weeks<\/strong> to allow the uterine lining to heal properly.<\/p>\n

                        \n
                      1. Will I experience pain<\/strong> after the operation?<\/li>\n<\/ol>\n

                        Mild pelvic cramps or abdominal discomfort<\/strong> may persist for a few days; however, simple pain relievers are usually sufficient.<\/p>\n

                          \n
                        1. Can hysteroscopic myomectomy help treat infertility?<\/li>\n<\/ol>\n

                          Yes, if fibroids interfere with embryo implantation, their removal can significantly increase the chances of conception.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

                          Uterine fibroids, also known as leiomyomas, are one of the most common health conditions affecting women. These benign tumors often develop without causing noticeable symptoms; however, they can lead to a variety of issues, including menstrual irregularities and infertility.<\/p>\n","protected":false},"author":1,"featured_media":987512169,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[919],"tags":[1074,1567,1568,1563,1570,1564,1560,1566,1562,1561,1569,1072,1565,1191],"dipi_cpt_category":[],"class_list":["post-987512168","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-ankara-fibroid-surgery","tag-ankara-fibroid-treatment","tag-ankara-minimally-invasive-fibroid-surgery","tag-fertility-preservation","tag-fibroid-treatment","tag-gynecologic-surgery","tag-hysteroscopic-myomectomy","tag-hysteroscopic-procedure","tag-minimally-invasive-fibroid-surgery","tag-submucosal-fibroid","tag-uterine-fibroid","tag-uterine-surgery","tag-uterus-fibroid-removal","tag-womens-health"],"_links":{"self":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts\/987512168","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/comments?post=987512168"}],"version-history":[{"count":1,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts\/987512168\/revisions"}],"predecessor-version":[{"id":987512171,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts\/987512168\/revisions\/987512171"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/media\/987512169"}],"wp:attachment":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/media?parent=987512168"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/categories?post=987512168"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/tags?post=987512168"},{"taxonomy":"dipi_cpt_category","embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/dipi_cpt_category?post=987512168"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}