Hysteroscopic Morcellation of Fibroids – NICE Research

What is hysteroscopic morcellation of uterine leiomyomas (fibroids)?

NICE is looking at a very specific type of procedure which is called ‘hysteroscopic morcellation of uterine leiomyomas (fibroids). In this procedure, a small metal tube (a hysteroscope) is put inserted through the vagina and into the womb through the cervix. A small instrument with a specially designed tip is inserted through the tube and used to break the fibroids down into small pieces (morcellation). The fibroids are then removed.

NICE welcomes comments from patients, or the parents or carers of patients who have experience of this procedure, but also from any patient or carer who would like to comment on the guidance in general.

Practical information


The public consultation period will run for 4 weeks, and will start on the 24 October running until the 24 November 2014. During this period anyone is allowed to comment on the draft recommendations that are published on the NICE website.

How can I comment?

You can comment in a number of ways, including:

  • Using the online form on the NICE website (which you can access using the following link – and then clicking on the consultation link at the bottom): http://www.nice.org.uk/guidance/IPG486
  • By email, please submit your comments to ip@nice.org.uk, please make sure you use the name of the procedure in the email title
  • By post, please send your comments to: Interventional Procedures Team, NICE, 10 Spring Gardens, London, SW1A 2BU
  • By fax, please fax your comments to the following number: 0845 003 7784, please make sure you mark your fax for the attention of the IP team

NICE is committed to helping people to comment on their documents. If you have any special requirements that mean that you cannot comment in one of the above ways, please contact Heidi Livingstone in the PIP team (Heidi.Livingstone@nice.org.uk) who will try to arrange an alternative method.

Making your comments

If you choose to make comments on this consultation NICE would really like to hear the following information from patients/carers and members of the public with experience of this procedure or condition:

  • Your views on the provisional recommendations (these will be in section 1 of the consultation document)
  • Your views on how well the procedure works. This may include any benefits that you may have gained from having this procedure, or any negatives that you may have experienced from having this procedure, that have not been reported in the published literature.
  • Your views on how safe or unsafe the procedure is, including any side effects or complications that you may have experienced that have not been reported in the published literature.
  • New / additional evidence that the Interventional Procedures Committee may have missed when producing its provisional recommendation. This should only include published evidence that is not already included in the evidence overview on how well the procedure works or on the safety of the procedure. The Interventional Procedures programme does not look at any evidence relating to cost or service provision.

When making your consultation comments you may wish to also consider the following points (if you have direct experience of this procedure):

  • The effect the procedure had on the progression of your condition
  • Any results that are really valued by patients/things that have made a big impact on your life, and why
  • The difference (positive or negative) the procedure has made to your
    • Physical wellbeing
    • Lifestyle
    • Mental health
    • Overall quality of life

There are also some issues, that although are important to patients, unfortunately fall outside of the remit of NICE Interventional Procedures Guidance. Comments on these issues are therefore considered less useful by the committee. NICE would encourage you not to comment on the following things:

  • The cost of the treatment, including the cost of private treatment, or comments about the cost savings this would mean to the NHS.
  • Comments about the consent process, this includes comments about your experience of being in hospital and the treatment that you received from the doctors and nurses.

When making a consultation comment you should bear in mind that your comments may be published on the NICE website. Although personal identifying data will removed from your comments before they are published, you should be mindful that your comments may be made public when discussing any sensitive information concerning your condition.

Further information

If you would like any further help or information when submitting your comments, or would like to be sent a link to the consultation document, please contact Heidi Livingstone in the Public Involvement Programme on Heidi.Livingstone@nice.org.uk or 020 7045 2183.


NICE is committed to promoting equality and eliminating unlawful discrimination in its activities.

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