Problems with Classifying Type 3 Uterine Fibroids as Submucous in the 2018 FIGO Revisions

BACKGROUND: FIGO classification of a 100% intramural fibroid contacting the endometrium as type 3. OBJECTIVES: Pros and cons of this modification are discussed. CONCLUSION: Hysteroscopic myomectomy of type 3 fibroid is a risky procedure and should be cautiously performed by an expert hysteroscopist. More research is required to assess safety issues and feasibility of either hysteroscopic or laparoscopic myomectomy in type 3 fibroids.