Removal of uterine fibroids – laparoscopic myomectomy

Uterine fibroids are benign tumors that form in the muscular layer of the uterus (myometrium). This disease is one of the most common among women of reproductive age. Although fibroids usually do not pose a direct threat to life, they can significantly reduce the quality of life, causing a wide range of symptoms and complications.

Causes and risk factors

The mechanism of development of uterine fibroids is not fully understood, but experts identify a number of factors that can contribute to its occurrence:

Hormonal imbalance. The main role is played by changes in the level of sex hormones – excess estrogen with a lack of progesterone contributes to excessive growth of myometrial cells.
Genetic predisposition. If the mother or grandmother had fibroids, the risk of its occurrence in a woman increases.
Chronic inflammatory processes. Long-term inflammation in the pelvic organs can negatively affect the structure of the uterine tissue, creating the prerequisites for the development of fibroids.
Lifestyle and nutrition. An unhealthy diet associated with the consumption of fatty foods and a lack of vitamins, obesity and a sedentary lifestyle – all this can affect the development of fibroids.

Signs and symptoms

Manifestations of uterine fibroids can vary depending on the size, location and number of nodes. In many women, the disease is asymptomatic, especially if the tumors are small.

However, in some cases, fibroids manifest themselves with the following signs:

Heavy and prolonged menstruation. An increase in the duration and volume of menstrual bleeding may be accompanied by anemia.
Pain in the pelvic area. These may be pulling or cramping pains that intensify during menstruation.
A feeling of pressure. Myoma can cause a feeling of heaviness or pressure on the bladder or intestines.
Disruption of adjacent organs. This manifests itself in frequent urination, constipation, or discomfort during bowel movements.
Problems with conception. Myoma, especially large nodes, can prevent normal implantation of the embryo and cause miscarriages.

Laparoscopic myomectomy or removal of fibromatous node is indicated for patients suffering from infertility and wishing to have a child if the cause of infertility is uterine fibroids or if for some reason complete removal of the uterus is contraindicated.

Information for performing surgery to remove uterine fibroids

Specialization	Gynecology
Anaesthesia	General anesthesia
Duration of surgery	1-2 hours
Stay in the clinic	1 day
Expected effect	After removal of the fibrous tumor from the uterus, the normal physiological relationship between the endometrium and the and myometrium, which helps stop heavy bloody uterine discharge.
Estimated cost of a case	Prices for fibroid node removal surgery

The operations are performed by the best surgeons of the clinic.

Doctor Rami Iusef

Surgeon, oncosurgeon, endoscopist, top category doctor, candidate of medical sciences.
Work experience over 20 years.

Diagnostic methods

The following diagnostic methods are used to detect uterine fibroids:

Gynecological examination. The doctor can determine the increase in the size of the uterus and its heterogeneity.
Ultrasound examination (US). The most accessible and informative way to visualize fibroid nodes.
Magnetic resonance imaging (MRI). It is used to clarify the structure and location of nodes.
Hysteroscopy. Allows you to visually assess the condition of the internal cavity of the uterus and take a biopsy.
Laboratory tests. A study of hormone levels and a general blood test to assess the general condition of the body.

Treatment methods

The choice of treatment depends on the individual characteristics of the patient: age, presence of symptoms, plans for pregnancy and the degree of progression of the disease.

Conservative therapy.
- Hormonal drugs that help stabilize the growth of nodes or reduce their size.
- Medicines to reduce the intensity of bleeding and eliminate pain.
Surgical treatment.
- Myomectomy. Removal of nodes while preserving the uterus is the preferred method for women planning pregnancy.
- Hysterectomy. Complete removal of the uterus is a radical measure used in cases of large or multiple fibroids.
Modern minimally invasive methods.
- Uterine artery embolization (UAE). The method involves blocking the blood supply to the nodes, which leads to their reduction.
- Focused ultrasound (FUS). Localized application of ultrasound waves to destroy the tumor without damaging surrounding tissue.
Observational tactics. If there are no symptoms and the fibroid is small, regular observation without active intervention may be recommended.

Prevention

Although it is impossible to completely eliminate the risk of developing uterine fibroids, there are measures that help reduce the likelihood of their occurrence:

Balanced diet. Eating foods rich in fiber, vitamins and minerals helps maintain hormonal balance.
Physical activity. Regular physical activity helps maintain normal weight and improve health.
Regular gynecological examinations. Early detection of disorders allows you to take timely measures.
Reducing stress levels. Psycho-emotional balance plays an important role in a woman’s health.
Healthy lifestyle. Quitting smoking and moderate alcohol consumption also have a beneficial effect on the condition of the body.

Conclusion

Uterine fibroids are a common disease that can be effectively controlled with the right approach. Early detection and timely treatment can help avoid serious complications and maintain reproductive health. An important aspect is regular visits to the gynecologist, which helps prevent the development of the disease and maintain a woman’s health for many years.