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fibroid."},"success":{"metric":"Improvement in heavy menstrual bleeding symptoms","value":85,"unit":"percent of patients","horizon":"1 year","population":"Premenopausal women with symptomatic submucosal fibroids (FIGO types 0–2) and heavy bleeding","evidence_status":"limited"},"techniques":[{"name":"Monopolar or bipolar resectoscope loop resection","suits_whom":"Patients with submucosal fibroids, including larger or partly intramural ones.","recovery":"Typically same-day discharge with return to usual activity in about 1 week."},{"name":"Hysteroscopic morcellation (mechanical tissue removal)","suits_whom":"Patients with small to moderate type 0–1 fibroids or polyps.","recovery":"Similar short recovery to resectoscopic surgery."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Operative time for a single small to moderate submucosal fibroid; excludes anesthesia and recovery time."},"initial_assessment_documents":["Pelvic 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Routine review can be remote; imaging can be done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that consent is obtained by the surgeon well in advance","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/having-surgery/specialist/","host":"nhs.uk","quote":"Before having a planned operation, your consent should be obtained by the surgeon well in advance.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to 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