Hysteroscopic Myomectomy: Successful Removal of a Large Submucosal Leiomyoma While Minimizing Bleeding

Mechanical hysteroscopic morcellators offer advantages over electrosurgical resectoscopes, including decreased risk of uterine perforation and lower fluid deficit. However, mechanical hysteroscopic resection lacks monopolar energy to control bleeding, therefore Pitressin® may be invaluable for hemostasis. The reported initial operative hysteroscopy success rate is 65-100%. A second procedure is required in 5-15% of patients, often due to cessation of the initial procedure in which bleeding resulted in poor visualization, higher fluid deficit, or uterine perforation.