This study aims to evaluate the applicability of the LASMAR scoring system, derived from hysteroscopy, in predicting surgical outcomes in patients undergoing hysteroscopic myomectomy for submucous fibroids.

This study aims to evaluate the applicability of LASMAR scoring in predicting surgical outcomes for cases of hysteroscopic myomectomy. By applying the LASMAR scoring system to patient , the study seeks to determine if the scoring can accurately predict operative time, completeness of resection, and complication rates.

Inclusion Criteria:

• Women aged 18-45 years
• Type 0,1,2 Fibroids according to Figo classification.
• Symptomatic submucous fibroids: Symptoms include abnormal uterine bleeding, pelvic pain or pressure symptoms, infertility or recurrent pregnancy loss.
• Fibroids size ≤ 5 cm in diameter
• Confirmed diagnosis of leiomyoma by ultrasound .
• Hemodynamically Stable Patients: Patients with no significant anemia.

Exclusion Criteria:

• Contraindications to hysteroscopy (e.g., Pregnancy, pyometra, active infection)
• Individuals with significant comorbidities (e.g., severe cardiovascular or respiratory diseases, bleeding diathesis).
• Cases requiring concurrent procedures (e.g., Laparoscopic surgeries).
• Fibroid Size>5 cm.

Women undergoing hysteroscopic myomectomy for symptomatic uterine fibroids.