Hysteroscopic myomectomy is a scarless, vaginal procedure that removes submucosal fibroids using a resectoscope. Unlike laparoscopic or abdominal techniques, it requires no external incisions, utilizes natural access through the cervix, and allows for same-day discharge with a rapid 48-hour return to work.
- Access route: Surgeons enter through the vagina and cervix using a lighted hysteroscope.
- Fibroid removal: A specialized wire loop shaves fibroids into fragments using high-frequency electrical energy.
- Uterine distension: Saline or specialized fluid expands the cavity to provide clear intraoperative visibility.
- Recovery period: Patients typically recover within 1–2 days compared to 4–6 weeks for laparoscopy.
Bookimed Expert Insight: While hysteroscopy is the least invasive option, Memorial Group data shows price brackets based on fibroid complexity. Grade 1–2 excisions start at $6,700, while Grade 3–4 cases reach $8,200. Patients with deep-seated fibroids should confirm their `grade` via MRI to avoid needing unplanned secondary sessions.
Patient Consensus: Patients value the absence of visible scarring and the quick 2-day recovery. Many emphasize confirming fibroid type beforehand, as this vaginal approach only works for those inside the uterine cavity.