Information for the public

What has NICE said?

There is not much good evidence about how well this procedure works and it may cause serious complications. It should only be used if extra care is taken to explain the risks and extra steps are put in place to record and review what happens.

Hysteroscopic morcellation of uterine fibroids should only be done by health professionals with special training.

More research on this procedure is needed and NICE may look at it again if more evidence is published.

What does this mean for me?

Your health professional should fully explain what is involved in having this procedure and discuss the possible benefits and risks with you. In particular, they should explain the uncertainty about the evidence on how likely it is to improve your symptoms and possible complications. You should also be told how to find more information about the procedure. You should only be asked if you want this procedure after having this discussion. Your health professional should ask you if details of your procedure can be collected.

Other comments from NICE

NICE discussed the possibility of undiagnosed cancer within fibroids and said that morcellation should not be used if cancer is suspected.

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