What is a hysteroscopic resection of fibroids?

Hysteroscopic resection is also known as Transcervical Resection of Fibroids (TCRF). It is a procedure for removing fibroids that occur in the inside of the uterus using an instrument called a hysteroscope.

Which fibroids can be removed through a hysteroscope?

Fibroids that are beneath the inner lining (endometrium) of the uterine wall and grow into the inner cavity of the uterus (submucosal) can be removed hysteroscopically.

Fibroids that are deep within the wall of the uterus are easier to remove laparoscopically.

What does the operation involve?

TCRF is usually performed under a general anaesthetic as a day-case procedure. No external cut is required, all the surgery is performed via the birth canal. The cervix (neck of the uterus) is gently stretched and a hysteroscope (small telescope) is then inserted through the cervix into the uterus. The hysteroscope gives a view of the uterine cavity and has a surgical loop at its end that is used to remove (or 'resect') the fibroids.

What is the recovery like after surgery?

The patient goes home on the same day as the operation. There may be some period-like cramp and bleeding for few hours after procedure, but otherwise the procedure is completely pain free. There will be some light bleeding, or blood stained discharge that usually settles within 7 days although some discharge may persist for up to 4 weeks. During this time the cavity of the uterus is healing. Most women return to driving and work within 48-72 hours.

Further information

For more information about recovering from the operation and what to expect on going home, read our information leaflet: Endometrial Ablation


Transcervical (hysteroscopic) resection of fibroid