Slide 13

There are different types of fibroids that a patient may have, and our patient has a subucosal fibroid. There are three different types of this fibroid, with Type 0 being the easiest to remove. The procedure for this involves going through the vaginal canal, cervix, and into the uterus. The subucosal and pedunculated fibroids are the only types that can be treated with hysteroscopic myomectomy, while the others require open or laparoscopic myomectomy. On this slide, there's a visual of all the different kinds of fibroids that a patient may get. Our patient has a subucosal fibroid, and there's three different types. Type 0 is the intracavitary pedunculated fibroid. This one is where the fibroid is kind of just hanging from the endometrium. This one's very easy to remove. Type 1, this is when there's less than 50% of the fibroid within the myometrial walls. Type 2 is where there's greater than 50% of it within the myometrium. And so on this visual, you can see the anatomy pertinent to this procedure. You're going to go through the vaginal canal, through the cervix, and into the uterus for this procedure. And you can see that with the subucosal fibroids and the pedunculated fibroids, that's intracavitary, why? Those are the only indicators for this type of procedure we're going to do for the hysteroscopic myomectomy, and while the others have to have an open or laparoscopic myomectomy, because those are not easily available to get to from inside the uterus.