Successful pregnancies in women with diffuse uterine leiomyomatosis after hysteroscopic management using the Hysteroscopy Endo Operative system.

Hysteroscopic surgery using cold graspers combined with electric loop by the HEOS is feasible and effective for treatment of DUL as it preserves the uterus and yields favorable reproductive outcomes. The cold surgery and fenestration method minimize electrical and thermal damage to the endometrium surrounding the myoma, consequently reducing surgical risks.