ABSTRACT
Submucous myomas represent only 5% to 10% of all the fibroids but are often symptomatic and require treatment. Most frequent symptoms are heavy menstrual bleeding and infertility.
The approach to this pathology is direct access to the uterine cavity through the vagina by hysteroscopy. The first surgical hysteroscopy for myoma, resectoscopy, was reported in 1976 and remained the gold standard for almost 30 years. In the last decade, we have witnessed new devices and new surgical techniques for the surgical treatment of fibroids, even adapted to the office setting. This chapter is an update on uterine endocavitary surgery to treat myomas. The reader will be able to check all the innovations on submucous myoma treatment.
