Hysteroscopic myomectomy is a procedure used to remove abnormal uterine tissue called fibroids. It involves two steps: First the uterus is viewed and the location of the uterine fibroids are identified using a hysteroscope, a type of telescope especially designed to view the inside of the uterus. Then the uterine fibroids are removed through channels in the scope. Sometimes it may take more than one procedure to remove all of the fibroid tissue. No incisions are required for this procedure, which does not require a hospital stay. Average operative times range from 30 to 60 minutes. Patients are under either local anesthesia plus intravenous sedation or general anesthesia. Patients may be given a prescription for misoprostol, a medicine that when placed in the vagina results in cervical softening, which aids your doctor in dilating the cervix. After surgery and clearance of anesthesia, most patients can drive themselves home nd the next day may return to work. They usually require anti-inflammatory pain medicine for several days, but not narcotics. Post-operative mild vaginal bleeding for several days after the procedure will resolve, but if it there is increasing pain or fever associated with it, the doctor should be called.
As part of the UAB Division of Women's Reproductive Healthcare, UAB Obstetrics and Gynecology’s services range from complete obstetric care to the medical and surgical treatment of complicated gynecological concerns. We work closely with the UAB Medicine Interventional Radiology team to diagnose and treat your condition, using the latest and most accurate technology and imaging methods, including fluoroscopy, ultrasound, and CT scans. Because UAB Medicine is an academic health center, patients may be offered participation in clinical research trials, which can give you access to new techniques and treatments that are not available elsewhere in the area. Our physicians are here for you at all times, from your first routine gynecological exam, to delivering your baby, to guiding you through menopause. When you establish a relationship with our doctors, you can rely upon that relationship throughout your lifetime.