Everything You Need To Know About Uterine Fibroid Surgery 

Your uterus has growths called uterine fibroids. You can choose whether or not to have them removed because they usually are not malignant. In this article, we will analyze Uterine Fibroid Surgery.

If your fibroids don’t bother you, surgery might not be necessary. However, you might think about having surgery if your fibroids:

  • Severe bleeding during the period.
  • You bleed when you are not on your period. 
  • Pressure or soreness in your lower belly.
  • The need to go to the bathroom often.
  • A problem with bladder emptiness.

In the event that you desire to become pregnant in the future, surgery may be an option you need to consider. Sometimes, fibroids can cause miscarriage or pregnancy difficulties. 

There are two main options for you to choose from regarding surgery:

Uterine Fibroid Surgery has dangers but can help with fibroid symptom relief. Your doctor will go over your alternatives with you. You and your partner can decide whether to undergo a procedure and, if so, which one.

Myomectomy 

Myomectomy also treats bleeding problems, in addition to fibroids. This is a good option for you to look at if you would like to have children in the future. A full hysterectomy does not allow you to have children as your uterus is removed. 

Myomectomy patients have stated that they have felt their symptoms decrease between 80 and 90 percent of cases. Once this surgery is completed, those fibroids will not regrow. However, your body can produce new ones. Due to the growth of additional fibroids, up to 33% of women who undergo this surgery will require a second operation within five years. 

Depending on the quantity, shape, and location of your fibroids, this procedure can be performed in one of three ways. All of these procedures will be performed using a general anesthetic.

Hysteroscopy

Women with fewer and smaller fibroids will find this therapy more beneficial. Fibroids encroaching on the interior of your uterus can also be removed during a hysteroscopy.

A long, thin, lit telescope is inserted into your uterus through your cervix and vagina during the procedure. Your uterus is expanded with fluid injections so your doctor can better see your fibroids.

The surgeon will then cut or remove your fibroids using an instrument. The liquid used to inflate your uterus washes the fibroid fragments out. You might leave the hospital with a hysteroscopy on the same day as your procedure.

Hysterectomy for fibroids
Hysterectomy for fibroids

Hysterectomy

Your uterus can be entirely removed during a hysterectomy. If you don’t intend to have children and a lot of big fibroids, this operation can be possible.

A specialist can remove your uterus in the ways mentioned below:


  • Laparotomy/ Abdominal Hysterectomy
    Your surgeon removes your uterus by cutting a lower abdominal incision.
  • Vaginal Hysterectomy
    Through your vagina, the surgeon removes your uterus. Large fibroids might not respond well to this method.
  • Laparoscopic Hysterectomy
    Through tiny incisions, the surgeon inserts the tools and removes the uterus. A robot can carry out this action.

Your cervix and ovaries might remain in place after surgery. You will then keep releasing female hormones. An abdominal hysterectomy requires 6 to 8 weeks for a full recovery. Laparoscopic and vaginal hysterectomy recovery times are shorter.

A hysterectomy is the only procedure that eliminates the signs and symptoms of uterine fibroids. You won’t be able to have kids anymore, though.

Endometrial Ablation

Even though endometrial ablation isn’t surgery, it is still a minimally invasive technique. Your uterus’ lining is destroyed. It functions well in women with tiny fibroids near the uterus’ lining.

Your fibroids cannot be removed, although ablation can lessen severe bleeding. Additionally, it’s not for females who intend to conceive in the future. Either a hospital or your doctor’s office can perform endometrial ablation. It may occasionally take place concurrently with another procedure.

During the procedure, a general anesthetic could be used. You could also receive a spinal or epidural anesthetic to become completely unconscious.

A particular device will be inserted into your uterus during the treatment, and one of the following techniques will be used to burn off your uterine lining:

  • An electric current
  • A heated fluid-filled balloon
  • Radiofrequency
  • A cold probe
  • A fluid that is heated

On the day of your surgery, you are free to return home. The sort of ablation you have will determine how long it takes you to recover. Endometrial ablation works well to stop fibroids’ excessive bleeding.

Endometrial Ablation for fibroids
Endometrial Ablation for fibroids

The Benefits

Abdominal pain and excessive bleeding are two symptoms that can be treated with endometrial ablation and fibroids surgery. The majority of fibroid-related problems can be permanently alleviated by removing your uterus.

The Risks

All of these procedures are safe, but they can have risks, such as:

  • Bleeding after the procedure. 
  • Bacterial infections. 
  • You may need to repeat the procedure if you do not have a Hysterectomy. 
  • Scar tissue damage or damage to an organ in the area where the procedure was performed. 
  • Fertility problems. 

Bottom Line

Uterine Fibroid Surgery can frequently ease discomfort, severe bleeding, and other bothersome uterine fibroids symptoms. These treatments may cause unwanted effects. Additionally, having a hysterectomy will prevent you from having children in the future.

Discuss all of your treatment choices with your doctor. Before choosing one, familiarize yourself with the advantages and downsides of each.


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