Best Surgery for Fibroids

Best Surgery for Fibroids

Best Surgery for Fibroids: Understanding the Options and Choosing the Right Approach

Fibroids are non-cancerous growths that develop in the muscle of the uterus. These tumors, also known as uterine fibroids, are common in women of reproductive age and can range from being asymptomatic to causing severe symptoms like heavy menstrual bleeding, pelvic pain, and difficulty conceiving. The decision of whether to treat fibroids surgically depends on factors such as the size, location of the fibroids, symptoms, and whether the patient is planning for pregnancy.

Fibroid Removal Surgery (Myomectomy)

Myomectomy is a procedure to remove fibroids while preserving the uterus. The method chosen depends largely on the location and size of the fibroids:

1. Laparoscopic Myomectomy – Also known as minimally invasive surgery, this method involves making small incisions in the abdomen through which a camera and surgical tools are inserted. It’s ideal for removing fibroids that are located in the outer muscle layers of the uterus. Recovery time is faster, and there is less scarring.
2. Robotic Myomectomy – This is a variation of laparoscopic surgery, where robotic assistance enhances precision and control. It's an excellent option for complex cases or larger fibroids that require careful removal.
3. Hysteroscopic Myomectomy – For fibroids that are located inside the uterine cavity (submucosal fibroids), hysteroscopic surgery is often the best option. This involves inserting a thin tube with a camera (hysteroscope) through the cervix to remove fibroids. This approach is minimally invasive and requires no incisions.

Fibroids and Pregnancy

Fibroids can affect a woman’s ability to conceive and maintain a pregnancy, particularly when they are located inside the uterine cavity (submucosal) or cause abnormal changes in the uterine shape. If a woman has been trying to conceive for a year or more without success, fibroid removal may be recommended to improve the chances of pregnancy. Even small fibroids, if they distort the shape of the uterus or block fallopian tubes, can significantly impact fertility.

Hysteroscopic Approach for Submucosal Fibroids

Hysteroscopic laser surgery is a cutting-edge treatment for submucosal fibroids. The procedure uses a laser to remove or shrink fibroids that are located just beneath the uterine lining. This method is effective, precise, and often results in faster recovery times with minimal risk of complications.

Hysterectomy for Older Women with Symptomatic Fibroids

For women over 40, especially those who have completed their families, hysterectomy may be the most effective treatment. This involves the removal of the uterus and is typically recommended for women who have large, symptomatic fibroids that do not respond to other treatments. Hysterectomy can provide permanent relief from fibroid-related symptoms, such as heavy bleeding, pelvic pain, and pressure.

The Best surgery for fibroids depends on the size, type, and location of the fibroids, as well as the patient's fertility goals and overall health. For women attempting pregnancy, myomectomy or hysteroscopic surgery offers the best options for preserving fertility, while hysterectomy remains a suitable choice for women past their reproductive years who are experiencing severe symptoms. For more information or to fix an appointment call +91 9023703001, 7307103001.