If the workup of abnormal uterine bleeding reveals that the cause is an intrauterine fibroid or polyp(s), it may be possible to remove the lesion in the office setting under intravenous conscious sedation.
A small camera with a working channel (hysteroscope) is used to visualize the lesion as it is being resected using a tiny scalpel housed in a suction catheter (“Myosure catheter”) placed through the hysteroscope. Sterile fluid is used to distend the uterine cavity, and a specialized fluid system is used to assure use of a safe volume of fluid.
In some cases, it’s advisable to also perform an endometrial ablation to prevent regrowth of the lesion.
Hysteroscopic resection of endometrial lesions often leads to a dramatic improvement in symptoms and many patients who previously would have had to undergo hysterectomy may be successfully treated by this minimally invasive procedure.