Sonographically Guided Hysteroscopic Endomyometrial Resection

Hysteroscopic endomyometrial resection (EMR) was first reported by this author in 1994.[1] Several refinements have been made through the years including the addition of sonographic guidance as well as its adaptation into an office-based environment. EMR has many outstanding benefits including its adaptability to a "see-and-treat" procedure appropriate to an office setting. Importantly, EMR has a very high rate of hysterectomy avoidance and provides a complete histologic specimen of the endometrium and superficial myometrium. Finally, EMR is a superior method of managing both resectoscopic and non-resectoscopic endometrial ablation failures.