ABSTRACT
Submucous leiomyomata are leiomyomata that to a greater or lesser degree have a component that distorts the endometrial cavity of the uterus (see Plates 24 and 25). Consequently they may predispose the woman to menorrhagia or to sub fertility. Methods to confirm the presence of a submucous leiomyoma are: ultrasound, ultra sound with instillation of a contrast medium, hysteroscopy, hysterosalpingography, and mag netic resonance imaging. The investigator must define the size of the leiomyoma and the degree of endometrial cavity distortion by the leiomy oma to enable an appropriate management strat egy to be instituted. The operative management of the submucous leiomyoma can usually be per formed on a day-case basis, via a transcervical approach, and is usually straightforward; however complications peculiar to this method can occur and will be discussed in detail.
