Fibroids are almost always benign (not cancerous). Rarely (less than one in 1,000) a cancerous fibroid will occur. This is called leiomyosarcoma.
What If I Become Pregnant and Have Fibroids?
Asymptomatic small or medium sized fibroids alone are unlikely to present significant risk to pregnancy. However, fibroids may increase in size as a result of increased levels of hormones and blood flow to the uterus during pregnancy. The growth of fibroids may cause discomfort, feelings of pressure, or pain PRETERM delivery,abortions & bleeding.
Could My Fibroids Come Back After the Treatment?
Although this treatment may be successful in destroying the fibroids causing painful symptoms, at a later time, more fibroids may grow, become symptomatic and require additional treatment.
What is Radiofrequency Ablation of Fibroids?
It aims to effectively treat fibroids with a minimally invasive outpatient procedure uses radiofrequency energy to heat fibroid tissue and cause instantaneous cell death.
How about After care ?
At discharge from the hospital, your doctor prescribes oral pain medication, tells you how to care for yourself, and discusses restrictions on your diet and activities. You can expect some vaginal spotting or staining for a few days, depending on the type of procedure you've had.
WHAT ARE THE Surgical methods for myomectomy ?
Hysteroscopy-which involves inserting a lighted viewing instrument through the vagina and into the uterus.
Laparoscopy- which uses a lighted viewing instrument and one or more small cuts (incisions) in the abdomen.
Laparotomy-which uses a larger incision in the abdomen.
What To Expect After Surgery?
The length of time you may spend in the hospital varies.
Hysteroscopy is an outpatient procedure OR maximum 1 day hospitalisation.
Laparoscopy may be an outpatient procedure or may require a stay of 1 day.
Laparotomy requires an average stay of 1 to 4 days.
What about the Recovery time?
Depends on the method used for the myomectomy:
Hysteroscopy requires 1-2 days
Laparoscopy requires 2-3 days
Laparotomy requires 4 to 6 weeks.
Why It Is Done?
Myomectomy preserves the uterus while treating fibroids. It may be a reasonable treatment option if you have:
Anemia that is not relieved by treatment with medicine.
Pain or pressure that is not relieved by treatment with medicine.
A fibroid that has changed the wall of the uterus. This can sometimes cause infertility.
Before an in vitro fertilization, myomectomy is often done to improve the chances of pregnancy.
ANY PRE-OPERATIVE EVALUATION?
All patients undergoing myomectomy should have at least a pelvic ultrasound to determine the size, number, and location of the fibroids.
A complete blood count, or CBC, is necessary.Chest x ray and ECHO MAY BE NEEDED in few cases.
What are the advantages of laparoscopy?
Removal of fibroids of any size and location for fertility patients.
Applicable to patients with prior surgery, obese patients, and patients with multiple fibroids in the uterus.
Excellent control of blood loss during and after the procedure.
Reconstruction of the uterus using standard surgical techniques, ensuring the best possible and strongest uterine muscle closure.
Discharge home the same or next day of surgery, with the ability to return to work in 2-3 days.
Avoids the use of abdominal myomectomy, which results in increased pain and recovery time.
What about open method?
Abdominal myomectomy is an effective surgical method for removal of fibroids, but relies on a very large incision that increases complications and recovery. Patients stay in the hospital for an average of 4-5 days, with the ability to return to work at six to eight weeks on average.
What is HYSTEROSCOPIC MYOMECTOMY?
This procedure is limited to removal of fibroids in the uterine cavity ONLY through a hysteroscope (hystero=uterus) (scope = camera and light).
The hysteroscope has a wire loop that cuts the fibroid away from the uterus using electricity. The "chips", or pieces of the fibroid, are then removed from the cavity.
WHAT ARE THE ADVANTAGES?
The recovery is fast since there are no abdominal incisions, with patients generally being able to return to work in two days. In cases of large fibroids, often a second procedure is needed to remove the remaining fibroid
How Soon Can You Get Pregnant after a Myomectomy?
women can start trying to get pregnant three months after myomectomy. Even for the rare patient who heals a bit more slowly, the healing should be complete by the time the uterus starts to grow with the pregnancy.