Fibroids projecting in the uterine cavity (sub-mucous myomas) can cause heavy menses, pain, dysmenorrhoea, recurrent miscarriage or infertility. They can be removed using the resectoscope by shaving the myomas into small pieces and removing them through the cervix.
Fibroids are common tumors in the reproductive age group, occurring in 20 – 25% of women. Although they are asymptomatic in most women, they may cause pain, heavy menstruation, pressure symptoms, infertility or recurrent miscarriage. In symptomatic patients removal of the fibroids (myomectomy) can be performed laparoscopically. The surgery involves removal of the fibroid from the uterus, reconstruction (suturing the defect) and removal of the fibroid from the abdomen by morcellation (reducing the fibroid into small chunks using a special instrument).