Fibroids Removal.

The process for removing uterine fibroids (non-cancerous growths in the uterus) primarily involves a surgical procedure called a myomectomy. Unlike a hysterectomy, which removes the entire uterus, a myomectomy removes only the fibroids, preserving fertility. 

1. Preparation

Imaging: Doctors use pelvic ultrasound or MRI to map the size, number, and exact location of the fibroids.

Medication: You may be prescribed GnRH agonists for 3–6 months before surgery to shrink the fibroids and reduce bleeding risks.

Pre-op: Standard blood tests and fasting are required.

2. Surgical Methods

The choice of procedure depends on the size and location of the fibroids: 

Abdominal Myomectomy (Laparotomy):

Process: A 3–4 inch horizontal "bikini cut" or vertical incision is made in the lower abdomen to access the uterus directly.

Best For: Large, numerous, or deeply embedded fibroids.

Stay: Typically requires 1–3 days in the hospital.

Laparoscopic or Robotic Myomectomy:

Process: Surgeons make several tiny incisions (5–12mm) and use a camera (laparoscope) and specialized tools to remove fibroids. In robotic versions, the surgeon controls these tools from a console.

Best For: Smaller or fewer fibroids.

Stay: Often an outpatient procedure or an overnight stay.

Hysteroscopic Myomectomy:

Process: No skin incisions are made. A scope is inserted through the vagina and cervix into the uterus. A wire loop shaves off the fibroids, which are then washed out with fluid.

Best For: Submucosal fibroids (those growing inside the uterine cavity).

Stay: Usually home the same day. 

3. Recovery and Results

Healing Time: Recovery ranges from 48 hours for hysteroscopic procedures to 4–6 weeks for abdominal surgery.

Symptom Relief: Most patients experience significantly lighter periods and reduced pelvic pain.

Future Pregnancy: While the uterus is preserved, deep fibroid removal may weaken the uterine wall, often requiring a C-section for future deliveries to prevent rupture.

Recurrence: New fibroids can develop over time, with about 33% of women needing a repeat procedure within five years.