Removal of the Fibroids (Surgical Treatments)
There have been a number of procedures recently promoted for treatment of fibroids.
While some surgical treatments are being well articulated some are truly new.
Others are being marketed as new in order to promote the sale of expensive instruments, without offering any real advantages.
Many new procedures prove over time to be major advances; we may look back on others as not so wonderful.
With any new procedure, it is important to look at studies published in peer-reviewed medical journals as well as promotional materials by a physician, clinic, or instrument manufacturer.
Ask questions to your doctor:
- How many of these procedures have been done in published studies?
- What is the outcome?
- How long have these patients been followed?
In deciding whether any procedure is for you, you should look at advantages and disadvantages of all available options.
Surgical removal type is highly depended on the location and position of the fibroids:
When a fibroid is inside the uterine cavity, it will almost always cause abnormal bleeding and cramping.
Maybe it is not currently causing problems, but they will soon.
For this reason, it is usually recommended that they should be removed.
These can usually be removed by using a special kind of hysteroscope or resectoscope.
This is called hysteroscopic resection of fibroids.
Most myomas inside the uterus can be removed in an outpatient setting with resectoscope.
It is a medical telescope with a built-in loop that can cut through tissue.
It has been used for years to treat enlargement of the male prostate gland, and has more recently been used inside the uterus.
Some of the fibroid is also in the wall of the uterus.
They often cause abnormal bleeding.
Many of these can also be treated by hysteroscopic resection.
The decision on which fibroids should be treated by this method should be made by a hysteroscopic surgeon.
If heavy bleeding is the main reason for desiring treatment and fertility is no longer desired, an endometrial ablation may also be done at the same time.
Intramural and Pedunculated Fibroids
Fibroids that are in the wall or on the outside of the uterus are not accessible through the cervix for treatment.