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.

Watch a video on this treatment option for fibroids here.

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