iInformation Box 16.3 Basic requirements for set-up for outpatient hysteroscopic myomectomy

Hysteroscopic grasping instruments are too fragile to avulse submucous fibroids unless the fibroids are small (1 cm). Such fibroids are unlikely to be of clinical significance, but tissue obtained in this way may be histologically examined. A more versatile technique (appropriate for pedunculated and sessile fibroids) involves introducing hysteroscopic scissors and incising the superficial fibroid capsule. The fibroid is then undermined and partially or completely detached. Hysteroscopic grasping forceps are then used to extract the fibroid.