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Chapter 12 - Hysteroscopic Management of Fibroids

Published online by Cambridge University Press:  10 September 2020

By
Olav Istre  and
T. Justin Clark
Edited by
Mary E. Connor  and
T. Justin Clark
Mary E. Connor
Affiliation:
Royal Hallamshire Hospital, Sheffield
T. Justin Clark
Affiliation:
Birmingham Women’s Hospital
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Summary

Uterine fibroids or leiomyomas are solid, invariably benign tumours of uterine smooth muscle and connective tissue. The prevalence varies according to the population studied, but is estimated to be 25% in a general female population of reproductive age, although rates of up to 70% have also been reported [1–6]. Fibroids that encroach beyond the myometrium into the uterine cavity are referred to as submucosal, submucous or intracavity, and may account for up to 10% of all fibroids [7]. They are thought to be associated with abnormal uterine bleeding and reproductive failure. The development of endoscopy has allowed removal of submucosal fibroids under direct vision, hysteroscopic myomectomy, which avoids the need for laparotomy or crude, blind intrauterine techniques.

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Information
Diagnostic and Operative Hysteroscopy , pp. 144 - 157
Publisher: Cambridge University Press
Print publication year: 2020

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