Removing Fibroids Permanently

Removing Fibroids Permanently 645d53284353f.png

Removing Fibroids Permanently

Even with all of the treatment options available to women with uterine fibroids, a hysterectomy is still a preferred treatment method, due to the fact that it is currently the only definitive treatment option for removing fibroids permanently. However, since the procedure removes the uterus and cervix, a hysterectomy is not an option for women that would like to have children.

Though medication can help relieve the symptoms of fibroids, and most likely will not interfere with fertility, it does so as a temporary fix and is not a solution to the fibroid problem.

The only way to successfully remove fibroids is through a non-invasive surgery such as Uterine Fibroid Embolization, which we specialize in here at MidAtlantic Vascular and Interventional. Or through a major surgery such as a hysterectomy, as well as a uterine sparing surgical procedure called a myomectomy.

A myomectomy is a surgical procedure that removes uterine fibroids while keeping the uterus intact, thereby preserving fertility.

A myomectomy is usually offered as a treatment recommendation for women who wish to have children after the fibroids are removed, or who wish to keep their uterus for other reasons. The procedure can also help regulate abnormal uterine bleeding caused by fibroids, as well as other fibroid-related symptoms.

Remove the fibroids, and remove the symptoms.

Depending on the number of fibroids, their location, and their size, a surgeon will perform a myomectomy operation with one of three approaches.

The first approach is a standard open surgery, while the second and third options are less invasive.

Let’s take a look at what those operations are.

Laparotomy: 

A laparotomic myomectomy is performed as open surgery, by way of an abdominal incision. Though effective, due to its invasiveness, a laparoscopic myomectomy has a higher risk for blood loss and scarring, which can be problematic.

A laparotomic myomectomy is usually necessary when there are several very large fibroids that are located in a difficult area of the uterus to reach using other surgical methods. It is also oftentimes the best approach to removing intramural fibroids.

–     Intramural fibroids are located primarily within the width of the uterus. There are several types of intramural fibroids: anterior intramural fibroids, which are located in the front of the uterus, posterior intramural fibroids, which are located in the back of the uterus, and a fundal intramural fibroid, located in the upper part of the uterus.

Because intramural fibroids grow toward the outside of the uterus, if they are too large, they can cause fertility issues and pregnancy complications.

Hysteroscopy:

During a hysteroscopic myomectomy, fibroids are removed using a surgical instrument called a hysteroscopic resectoscope.

This hysteroscopic resectoscope enters the uterine cavity through the vaginal canal, and it is usually the preferred method for removing submucosal fibroids.

–     Submucosal fibroids are located near the outer layer of the uterus, however, they grow toward the internal layer of the uterus, called the mucosa, causing them to protrude into the uterine cavity. These fibroids tend to be symptomatic even at smaller sizes, and can even impact fertility. However, when caught early, these fibroids can be removed, thus preventing fibroid-related issues during pregnancy

Laparoscopy:

A laparoscopy is similar to a hysteroscopy, only it is less invasive and typically an option for women who have a small number of subserosal fibroids.

–     Subserosal fibroids are located near the outer layer of the uterus, known as the serosa. This particular type of fibroid grows toward the outside of the uterus. When they are small, they are unlikely to cause symptoms and usually do not require treatment. However, they should be monitored in case they become larger and therefore symptomatic.

Both the hysteroscopy and the laparoscopy have a much faster recovery time than a laparotomy, as they are less invasive than open surgery.

As with any surgery, a myomectomy does come with its risks.

Every reproductive organ is a very serious surgery, and none of the methods of a myomectomy are immune to their own set of risks, side effects, and complications.

In our next article, we will take a look at some of the risks of a myomectomy and provide more information on each procedure.

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