In-office Hysteroscopic Laser Ablation for Symptomatic Submucous Uterine Fibroids

Inclusion Criteria: * symptomatic patients without desire of future fertility (symptoms included heavy menstrual bleeding, abdominal discomfort, bulk symptoms such as urinary frequency, pelvic pressure and constipation), * grade 0-2 (FIGO classification) ≤ 7cm fibroids with evident vascularity seen by 3D-DS compared to its adjacent myometrial tissue Exclusion Criteria: * intramural fibroids (FIGO class 3 or more), * \>2 submucosal fibroids, * pelvic inflammatory disease, * known gynecologic malignancy, * severe cervical stenosis, * pregnancy * desire of future fertility, * previous cervical surgery