Myomectomy (Hysteroscopic Resectoscope)


This outpatient procedure is used to remove one or more fibroids – growths that commonly develop along the walls of the uterus. The procedure is performed with the aid of a specialized device called a resectoscope, which is inserted through the cervix and into the uterus. The resectoscope contains a light, camera and a wire loop or other cutting instrument.


In preparation for the procedure, the patient is positioned and local anesthesia is administered. The physician inserts a speculum into the vagina to allow access to the cervix.

Accessing the Uterus

The physician carefully inserts the resectoscope through the cervix and into the uterus. The uterus is infused with fluid through a channel in the resectoscope, expanding the uterus to allow the physician to examine the uterine walls and locate the fibroid.

Removing the Fibroid

When the resectoscope is in proper position, the wire loop is extended to reach the base of the fibroid. The physician activates the cutting device, sending an electrical current through the wire loop. The physician uses the wire loop to carefully and cleanly shave the fibroid away from the uterine wall, cauterizing the tissue to prevent excessive bleeding.

End of Procedure and Aftercare

When the procedure is finished, the physician removes the fluid and the instruments. After a short stay in the recovery room, the patient is allowed to go home. The physician will provide specific aftercare instructions. Full recovery usually occurs within a week of the procedure.