Transrectal Ultrasound in Hysteroscopic Submucosal Myomectomy

What is it about?

The intraoperative use of transrectal ultrasonography during hysteroscopic myomectomy increases the chance of a one-step total removal of submucosal fibroids that deeply penetrate the myometrium. On the basis ofcontemporary classification criteria (ESH and STEPW classification), some of the myomas that were effectively removed via a 1-step procedure would have only partially qualified for hysteroscopic myomectomy, and in several cases they would not have qualified at all.

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Why is it important?

The present study is the first prospective evaluation of the intraoperative use of transrectal ultrasound during hysteroscopic myomectomy. Although transabdominal ultrasound has been accepted as a useful tool in hysteroscopic myomectomy of myomas with deep myometrial penetration, studies in this field are limited. Therefore, there is a need to assess the usefulness of ultrasound guidance (ie transrectal) during hysteroscopy.