Uterine fibroid surgery options include myomectomy or hysterectomy
The choice of uterine fibroid surgery depends on factors such as your own wishes and your doctor’s medical advice about the size and location of the fibroids. Fibroids that do not cause symptoms, are small, or occur in a woman who is nearing menopause often do not require treatment.
Certain signs and symptoms may signal the need for treatment
- Heavy or painful menstrual periods that cause anemia or that disrupt a woman’s normal activities
- Bleeding between periods
- Uncertainty whether the growth is a fibroid or another type of tumor, such as an ovarian tumor
- Rapid increase in growth of the fibroid
- Pelvic pain
Types of Uterine Fibroid Surgery
A myomectomy is the surgical removal of the fibroids only. This can be accomplished through hysteroscopy, laparoscopy, or, less frequently, an open procedure (an incision in the abdomen). The surgical approach depends on the size and location of the fibroid. Pretreatment with GnRH analogs has been shown to decrease blood loss and operative time in women undergoing myomectomy. Myomectomy has also been shown to have a decreased likelihood of injury to the bowel, bladder, or ureter than hysterectomy. The uterus is left intact in this type of procedure, and the patient may be able to become pregnant.
A hysterectomy is the surgical removal of the uterus (and fibroids). It is the most commonly performed surgical procedure in the treatment of fibroids and is considered a cure. Depending on the size of the fibroid, hysterectomy can be performed with incisions through the vagina or abdomen. In some cases the procedure may be performed using laparoscopy.