Hysteroscopic surgery of submucosal myomas (resection of myoma due to uterine submucosal leiomyoma)

Hysteroscopic Removal of Submucosal Fibroids (Myomectomy for Uterine Submucosal Leiomyoma)

This is a diagnostic and therapeutic procedure that allows the physician to examine and assess abnormalities within the uterine cavity and perform surgical treatment when necessary. The main advantage of hysteroscopy is that all procedures are performed under direct visual control. Interventions such as uterine curettage or biopsy are not carried out blindly, making the diagnosis of uterine cavity disorders highly accurate. In addition, no abdominal incisions are required, postoperative pain is minimal, and there is no risk of abdominal wound infection.

Hysteroscopy is best performed shortly after menstruation, when the endometrial lining is at its thinnest. This allows the gynecologist to detect and diagnose even small abnormalities within the uterine cavity.

About the Procedure:

A hysteroscope is inserted into the uterus through the cervix. The uterine cavity is visualized on a monitor, enabling the identification of pathology and its removal using specialized surgical instruments.

Who Is This Procedure Suitable For?

Hysteroscopy may be performed for:

• Endometrial polyps or uterine fibroids;
• Endometrial hyperplasia (abnormal thickening of the uterine lining);
• Heavy, prolonged, or irregular uterine bleeding;
• Recurrent miscarriages;
• Infertility;
• Other gynecological conditions.

Before the Procedure:

Our team of physicians will perform the necessary examinations and assess the patient's overall health condition.

Before the procedure, please follow your physician's instructions carefully to ensure the best possible outcome.

During the Procedure:

Hysteroscopy is usually performed under general anesthesia. During the procedure, the gynecologist inserts a thin hysteroscope, a telescope-like instrument, through the cervix into the uterus. Using a video monitor, the physician can visualize the cervical canal, the entire uterine cavity, and any abnormalities present, including thickened endometrium, polyps, fibroids, uterine septa, intrauterine adhesions resulting from previous procedures, as well as assess the openings of the fallopian tubes and the shape of the uterus.

If abnormalities such as polyps or fibroids are detected, they are removed using specialized instruments. Uterine septa and adhesions can also be treated during the same procedure. If the condition of the endometrium is suspicious, tissue samples may be obtained from selected areas for pathological examination, or endometrial curettage may be performed.

The procedure typically lasts approximately one hour.

After the Procedure:

Following surgery, the patient may be monitored in the recovery room or intensive care unit, depending on her clinical condition. If the postoperative course is uncomplicated, patients are usually discharged home on the same day.

Please arrange for a responsible adult to accompany you home from the hospital and assist you during the first 24 hours after surgery.

Most women are able to return to work the following day or within one to two days after hysteroscopy, depending on the extent of the procedure. Eating, drinking, and showering are generally permitted on the same day.

After the procedure, you may experience mild lower abdominal discomfort similar to menstrual cramps. Medications may be prescribed to relieve these symptoms. Light bloody or watery vaginal discharge may occur for several days or even a few weeks.

To reduce the risk of infection, it is recommended to avoid the following for one to two weeks after the procedure:

• Using vaginal tampons;
• Swimming in pools, lakes, or similar bodies of water;
• Sexual intercourse;
• Intense physical exercise.

Before discharge, your physician will provide detailed instructions regarding further treatment and recovery.

Registration:

• Kaunas: ligonine.savanoriu423@meliva.lt
• Vilnius: ligonine.laisves64@meliva.lt