title: Hysteroscopic myomectomy: techniques and preoperative assessment.
abstract: Even if usually asymptomatic, uterine myomas have been associated with a number of clinical issues such as abnormal uterine bleeding (AUB), heavy menstrual bleeding (HMB), infertility, recurrent pregnancy loss, especially when these masses are submucous. Golden standard treatment for symptomatic submucous fibroids has long been considered their laparotomic removal or a total hysterectomy. The development of endoscopy has made these fibroids accessible and removable from the inner surface of uterus. Hysteroscopy arose as a diagnostic technique, but then it also became an alternative surgical technique for many diseases, offering therapeutic and irreplaceable possibilities of treatment, avoiding major surgery on the one hand, and allowing the correction of pathologies specifically related to female fertility, on the other hand. Excision by slicing has been described as traditional resectoscopic submucosal myomectomy, but today there are new procedures among which the operator can choose, that allow overcoming the initial limitations of the traditional resectoscopic myomectomy in clinical practice.
authors.affiliation: Department of Gynecology and Physiopathology of Reproduction, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy - franecesca.guasina@gmail.com.
authors.forename: Paolo
authors.initials: P
authors.lastname: Casadio
authors.forename: Francesca
authors.initials: F
authors.lastname: Guasina
authors.forename: Ciro
authors.initials: C
authors.lastname: Morra
authors.forename: Maria T
authors.initials: MT
authors.lastname: Talamo
authors.forename: Concetta
authors.initials: C
authors.lastname: Leggieri
authors.forename: Jessica
authors.initials: J
authors.lastname: Frisoni
authors.forename: Renato
authors.initials: R
authors.lastname: Seracchioli
mesh_terms: D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007889:Leiomyoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D011300:Preoperative Care / Q000379:methods; D063186:Uterine Myomectomy / Q000379:methods*; D014594:Uterine Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*