Surgery is sometimes the most appropriate method for treating severe or moderately severe symptoms from fibroids. Here are different types of surgical options:
Endometrial Ablation -This procedure is used to control excessive bleeding. It is minor surgery and conducted as outpatients. Most people recover quickly. Approximately half of the women who undergo this procedure have no more menstrual bleeding. About three out of ten women will have very light bleeding. The patient must know that a woman cannot have children after this surgery. The surgeon removes the lining of the uterus to control excessive bleeding. It may be accomplished with laser, wire-loops, boiling water, freezing or other techniques
Hysterectomy is surgery to remove the uterus. It is the only absolute way to cure uterine fibroids. Fibroids are a very common reason for performing a hysterectomy. The patient cannot have children after this surgery either. It is a procedure used when a woman is having excessive bleeding, is close to menopause or her fibroids are very large or when the woman does not want to have children. Sometimes with very large fibroids the hysterectomy may require incisions in the abdomen as well, to remove the fibroids and the uterus.
Myolysis sounds like the most direct and simple method and is sometimes all that is needed. The surgeon inserts a needle into the fibroids and destroys them using electric current or freezing. This is usually aided by laparoscopy.
Myomectomy is surgery to remove fibroids without damaging or removing the healthy uterine tissue. There are several techniques for myomectomy surgery. It can be done with laparoscopy or hysteroscopy. Sometimes it requires major surgery. Which kind of surgery depends on the fibroids, the size, shape, type and location. It is also possible for new fibroids to grow and become problematic later. It may be the best method for women who still wish to bear children or wish to retain their uterus. A woman can become pregnant after this procedure. However, if the fibroids were deeply embedded in the uterus, the patient may require a cesarean section for delivery of the fetus |