Transcervical resection of uterine myomas with a resectoscope

As a surgical option, transcervical resection of uterine myomas is in the early stages of development. Although promising and a logical extension of the increasing reliance on hysteroscopy in gynecology, the comparison with the surgical standards of care for myomas (hysterectomy and hysterotomy) remains incomplete. The safety of the procedure, in the hands of a skillful resectionist, should be equivalent to that of a transurethral prostatectomy or bladder tumor resection. Postoperative management remains anecdotal, however, as the value of perioperative antibiotics, uterine stenting, or the administration of hormones to promote uterine healing has not been established. Urologists, as skilled resectionists, have an opportunity to participate in the evolution of uterine surgery. By providing their services both as resectionists and as instructors in resectoscopic technique, the urologist can promote optimal gynecologic adaptation of a useful surgical method.