Table 1. Score to guide the course for myomectomy.
| Score | Penetration | Size | Base | Topography | Lateral wall |
|---|---|---|---|---|---|
| 0 | 0 | = 2 cm | = 1/3 | Low | + 1 |
| 1 | = 50% | > 2 to 5 cm | > 1/3 to 2/3 | Middle | + 1 |
| 2 | > 50% | > 5 cm | > 2/3 | Upper | + 1 |
| Score | + | + | + | + | = |
| Score | Group | Suggested conduct | |||
| 0 to 4 | I | Low complexity hysteroscopic myomectomy | |||
| 5 to 6 | II | Complex myomectomy. Consider the use of gonadotropin-releasing hormone or two-step surgery | |||
| 7 to 9 | III | Consider alternatives to the hysteroscopic technique | |||
Source: Lasmar RB, Barrozo PR, Dias R, Oiveira MA. Submucous fibroids: a new presurgical classification (STEP-w). J Minim Invasive Gynecol. 2005; 12(4):308–11.9 (D)