Hysteroscopic Myomectomy
Some fibroid removal can be performed with no incisions by inserting a special instrument called a resectoscope into the endometrial cavity through the cervix (accessed through the vagina). Various kinds of resectoscope tools can be used to resect and / or vaporize the fibroids if they can be accessed this way.
Advantages: No incisions; Minimal post-operative pain; Immediate return to normal activities; Preservation of fertility in most cases
Disadvantages: Can only treat fibroids that bulge directly into endometrial cavity; May require more than one operative procedure to remove entire fibroid; Fibroids may recur.