Health A-Z

Fibroid removal surgery, also known as myomectomy, is a procedure performed to remove uterine fibroids while preserving the uterus. Here's how it relates to symptoms, treatment plans, and diagnosis testing.

1. Heavy menstrual bleeding: Excessive or prolonged menstrual periods, often with clotting, that may lead to anemia.
2. Pelvic pain or pressure: Discomfort or pain in the pelvic area, sometimes accompanied by a feeling of fullness or pressure.
3. Urinary symptoms: Frequent urination, difficulty emptying the bladder completely, or urinary incontinence due to fibroids pressing on the bladder.
4. Reproductive issues: Infertility or recurrent miscarriages may be associated with fibroids, especially if they distort the shape of the uterus or block fallopian tubes.

1. Surgical approach: Depending on factors such as the size, number, and location of fibroids, as well as the patient's age and desire for future fertility, different surgical approaches may be considered:
   • Abdominal myomectomy: A traditional surgical approach involving a larger abdominal incision to access and remove fibroids.
   • Laparoscopic myomectomy: A minimally invasive approach using small incisions and specialized instruments to remove fibroids with the assistance of a camera (laparoscope).
   • Hysteroscopic myomectomy: A procedure performed through the vagina and cervix using a hysteroscope to remove fibroids that protrude into the uterine cavity.
2. Fibroid removal: During the surgery, the surgeon carefully removes the fibroids while preserving the healthy tissue of the uterus.
3. Recovery: Recovery time varies depending on the surgical approach but may range from a few weeks for minimally invasive procedures to several weeks for abdominal myomectomy. Pain management and activity restrictions may be prescribed during the recovery period.
4. Follow-up: Regular follow-up appointments with a healthcare provider are important to monitor healing progress and address any concerns.

1. Pelvic examination: A healthcare provider may palpate the abdomen and perform a pelvic exam to feel for any abnormalities, such as enlarged uterus or masses.
2. Imaging tests: Ultrasound, MRI, or CT scans may be ordered to visualize the size, number, and location of fibroids in the uterus.
3. Blood tests: Blood tests may be done to check for anemia (low red blood cell count) due to heavy menstrual bleeding.