Only submucosal fibroids can be removed hysteroscopically
Classifying submucosal fibroids is essential to treating them with hysteroscopic surgery. According to how far they project into the uterine cavity, submucosal fibroids are divided into:
- Fibroids that project entirely into the uterine cavity.
- Submucosal fibroids of which the greater part (more than 3/5) projects into the uterine cavity.
- Submucosal fibroids of which the smaller part projects into the cavity (less than 2/5) and the greater part lies within the uterine wall (more than 3/5 in the myometrium).
- Multiple (more than 2) submucosal fibroids.
- Pedunculated submucosal fibroids, a particular category of which are the prolapsed fibroids that protrude through the cervix.