Outpatient MyoSure: Tissue Removal Procedure

During outpatient MyoSure Tissue Removal Procedure, polyps and suitable fibroids from the inside of your womb cavity are removed using the MyoSure device (a slender wand with a cutting tip) that is passed through a telescope into your womb.

What are fibroids or polyps?

Fibroids are tissue growths from the muscle walls of your womb. It can remain within the walls or protrude inside the womb cavity or protrude outside the womb. Fibroids can lead to heavy periods. Their removal is called as myomectomy.

Polyps are tissue growths from your womb lining (endometrium). They can become fragile and lead to heavy period bleeding, bleeding outside of your periods or bleeding after reaching menopause. They could be pre-cancerous or cancerous especially if additional risk factors are present (e.g. bleeding after you have reached menopause, diabetes, obesity, taking medications to treat other cancers). Their removal is called as polypectomy.

What is MyoSure device and what can I expect during the procedure?

The MyoSure procedures are done in the Women’s Outpatients Clinic at both University Hospital of North Tees and University Hospital of Hartlepool. A nurse or health worker will remain with you throughout the procedure, making you as comfortable as possible. The procedure can last for 15 to 20 minutes.

• Your neck of womb is opened slightly, and a thin telescope is passed through your vagina, neck of womb and into your womb (hysteroscopy).

• The inside of your womb is checked for fibroids or polyps.

• MyoSure device (a slender wand with a cutting tip at the end) is passed through the telescope.

• The tip of the MyoSure device cuts the fibroid or polyp into pieces and sucks them out of your womb into a container.

• MyoSure device and telescope are removed from your womb.

What will I feel during the procedure?

You may feel mild pelvic cramps during the procedure. Gas and Air is available if you wish to use it and, if required, local anaesthetic can be injected into your cervix.

We also recommend you taking 2 x 500mg of paracetamol and 400mg of Ibuprofen (if you are not allergic to them) an hour before your appointment time.

What are the benefits of the treatment?

The procedure treats the following while keeping the womb intact:

• Heavy period bleeding.

• Bleeding in between periods.

• Postmenopausal bleeding.

Unlike myomectomy through the abdomen (via telescope or larger cuts), myomectomy through cervix requires no cuts in the skin and you recover more quickly.

What are the risks of the treatment?

Complication risks are low (fewer than 1 in 100 people):

• Bleeding

• Infection

• Making a hole in the womb (perforation)

If perforation occurs, you may need a surgery where a telescope is inserted through your belly under general anaesthesia (laparoscopy) to check for damage and repair.

What are the risks of not having treatment?

• Your symptoms can continue without treatment.

• Your doctor might refer you back to the hospital in the future.

• The fibroid or polyp could contain pre-cancerous or cancerous changes that remain undiagnosed and can progress.

Are there alternatives?

MyoSure is the only mechanical device of its kind used in this Trust to remove fibroids and polyps. You can have this procedure done under general anaesthesia if you or your doctor think that will be a more appropriate option for you.

What should I expect after the procedure?

You can go home after the procedure and, in most cases, return to normal activities the next day.

You may experience mild to moderate pelvic cramping or pain, usually lasting only a few hours and rarely continuing beyond the day. You can take over-the-counter pain killers such as paracetamol or ibuprofen. Vaginal discharge, vaginal bleeding or spotting may occur after the procedure and can last for a few days. Avoid using tampons until this bleeding stops. Avoid sexual intercourse for two weeks.

What follow-up will I need?

The removed tissue will be sent to the Histopathology laboratory for testing and your consultant will write to you with the results in around 2 to 4 weeks. Sometimes, you may require additional treatment and your consultant will send you an appointment to discuss further.

Are there symptoms to report?

If you experience any of the following symptoms, please attend the Emergency Department at the University Hospital of North Tees:

• Abdominal pain increasing in severity

• Excessive vaginal bleeding, soaking sanitary pads every 1-2 hours

• High temperatures, chills or shakes

• Difficulty passing urine or not being able to urinate

• Otherwise feeling very unwell

For more information

Women’s Outpatient University Hospital of North Tees
Monday to Friday
9:00 a.m. – 5:00 p.m
Telephone: 01642 624212

Women’s Outpatient University Hospital of Hartlepool
Monday to Friday
9:00 a.m. – 5:00 p.m
Telephone: 01429 522865

Sources used for the information in this leaflet

Hologic (2023) MyoSure® Tissue Removal System Summary of Risks and Considerations. Available at: https://gynsurgicalsolutions.com/patients/treatment-options/myosure/benefits-risks/ (Accessed: 20 February 2023).

Comments, concerns, compliments or complaints

Patient Experience Team (PET)

We are continually trying to improve the services we provide. We want to know what we’re doing well or if there’s anything which we can improve, that’s why the Patient Experience Team (PET) is here to help. Our Patient Experience Team is here to try to resolve your concerns as quickly as possible. The office is based on the ground floor at the University Hospital of North Tees if you wish to discuss concerns in person. If you would like to contact or request a copy of our PET leaflet, please contact:

Telephone: 01642 624719

Freephone: 0800 092 0084

Opening hours: Monday to Friday, 9:30am to 4:00pm

Email: [email protected]

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Out of hours if you wish to speak to a senior member of Trust staff, please contact the hospital switchboard who will bleep the appropriate person.

Telephone: 01642 617617

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Telephone: 01642 383551

Email: [email protected]

Leaflet feedback

This leaflet has been produced in partnership with patients and carers. All patient leaflets are regularly reviewed, and any suggestions you have as to how it may be improved are extremely valuable. Please write to the Clinical Governance team, North Tees and Hartlepool NHS Foundation Trust, University Hospital of North Tees, TS19 8PE or:

Email: [email protected]

Leaflet Reference: PIL1405
Date for Review: 10/05/2026