Hysteroscopic Myomectomy
A no-incision procedure to remove submucosal fibroids directly from inside the uterine cavity using a hysteroscope — restoring normal uterine anatomy and resolving heavy bleeding without any external cuts.
What is Hysteroscopic Myomectomy?
Hysteroscopic myomectomy is the minimally invasive removal of submucosal fibroids — those projecting into the uterine cavity — using a resectoscope introduced through the cervix without any abdominal incisions. It is the gold standard treatment for submucosal fibroids causing heavy menstrual bleeding, irregular bleeding, or recurrent implantation failure. Dr. Ashwani Narla performs hysteroscopic myomectomy at Lux Hospitals, Hyderabad, offering a same-day, scarless procedure that directly addresses the cavity fibroids most likely to affect fertility and bleeding.
Suitable for women with submucosal fibroids (Type 0, 1, or 2) causing heavy periods, abnormal uterine bleeding, or fertility difficulties, where the fibroid is accessible via hysteroscopic approach.
How the Procedure Works
Anaesthesia & Cervical Preparation
General or regional anaesthesia is administered. The cervix is gently dilated to allow passage of the operative hysteroscope into the uterine cavity.
Cavity Assessment
The uterine cavity is distended with fluid medium. All walls are systematically inspected and fibroid location, size, and intracavitary extension are assessed.
Fibroid Resection
The fibroid is resected in chips using a monopolar or bipolar resectoscope loop, or morcellated using an intrauterine morcellator, until fully removed.
Cavity Inspection
After resection, the cavity is re-inspected to confirm complete fibroid removal and to check for any polyps or other pathology requiring treatment.
Recovery
Fluid balance is carefully monitored throughout. The procedure is typically completed as a day case with discharge within a few hours of recovery.
Outcomes
Who Needs This Treatment?
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No abdominal incisions — entirely scarless approach through the natural cervical opening
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Directly removes submucosal fibroids most responsible for heavy bleeding and fertility issues
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Significantly improves or resolves heavy menstrual bleeding in the majority of cases
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Improves uterine cavity shape, enhancing implantation rates for IVF
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Day procedure with rapid return to normal activities within days
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Histopathology of resected tissue confirms benign fibroid diagnosis
The hysteroscope lets us see and treat the very fibroids most responsible for heavy bleeding and implantation failure — removing them precisely, without a single external incision.
— — Dr. Ashwani Narla, Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Hysteroscopic Myomectomy Cost in Hyderabad
The cost of hysteroscopic myomectomy in Hyderabad depends mainly on the size, number, and location of uterine fibroids, as well as the complexity of removing them through the hysteroscopic approach. Hysteroscopic myomectomy is a minimally invasive procedure used to remove suitable fibroids that project into the uterine cavity, particularly submucosal fibroids. The estimated cost ranges from ₹70,000 to ₹1,50,000, with an average cost of approximately ₹1,10,000.
| Procedure | Approximate Cost Range |
|---|---|
| Hysteroscopic Myomectomy, Submucosal fibroids | ₹70,000 ₹1,50,000 |
The final cost may vary depending on the fibroid's size, number, location, and depth of involvement in the uterine wall. The choice of treatment also depends on the patient's symptoms, uterine anatomy, and whether fertility preservation is an important consideration. Multiple or larger fibroids may require a longer or more complex procedure and can increase the overall treatment cost. Tissue removed during myomectomy is generally sent for histopathological examination as part of the evaluation.
Factors Affecting Hysteroscopic Myomectomy Cost
Several clinical and procedural factors can influence the cost of hysteroscopic myomectomy. A detailed assessment is important to determine whether the fibroid is suitable for hysteroscopic removal and to plan the safest surgical approach.
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Fibroid size: Larger submucosal fibroids may require more operative time and a more complex removal process.
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Number of fibroids: Multiple fibroids can increase procedure duration and may require additional operative management.
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Fibroid location: The position of the fibroid within the uterine cavity and its depth of attachment can affect the technical complexity.
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Fertility considerations: Treatment planning may take into account the patient's reproductive goals and the desire to preserve the uterus.
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Pre-operative evaluation: Pelvic examination, ultrasound, saline infusion sonography, hysteroscopy, or other imaging may be recommended to assess the uterine cavity.
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Surgical complexity: The extent to which a fibroid projects into or extends through the uterine wall can influence the procedure and overall cost.
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Anesthesia and hospital care: Anesthesia, operating-room charges, day-care or admission costs, and monitoring contribute to the total expense.
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Histopathology: Removed fibroid tissue is evaluated in the laboratory, and pathology charges may form part of the overall treatment cost.
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Additional treatment: If other uterine abnormalities or gynecological conditions require treatment, the total cost may increase.
Insurance Coverage for Hysteroscopic Myomectomy
Hysteroscopic myomectomy may be covered by health insurance when it is medically necessary for symptomatic uterine fibroids or related complications. Coverage depends on the diagnosis, policy terms, waiting periods, exclusions, insurer guidelines, and pre-authorization requirements. Patients should confirm their coverage, applicable limits, and cashless treatment eligibility with their insurance provider before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Ashwani Narla
Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Dr. Ashwani Narla, Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon at Lux Hospitals, Hyderabad, evaluates patients with uterine fibroids and other gynecological conditions. During consultation, she reviews symptoms, menstrual history, reproductive goals, medical history, examination findings, and relevant ultrasound or other diagnostic reports. She assesses the size, number, and location of the fibroids to determine whether hysteroscopic myomectomy is an appropriate treatment option. The consultation may also include discussion of alternative treatment approaches, fertility preservation considerations, expected recovery, histopathological evaluation, possible additional treatment, and the estimated procedure cost.
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