Uterine fibroid are the most
common tumor in pelvis arising from
smooth muscle of the uterus. Most of the time
there are benign
noncancerous size of fibroid
can be from pee size
to size of softball.
They can cause a lot of symptoms
or they can be asymptomatic.
Complete the symptoms that
caused by uterine fibroid
includes vaginal bleeding,
severe menstrual cramping,
urinary frequency bloating,
back pain, infertility, recurrent
miscarriages and anemia due to heavy
blood loss. Most of our patients
think that this is a normal menstrual
There are many options nowadays
for patients with the uterine
fibroids for their treatment.
Nonsurgical options include hormonal therapy.
We can start with a low dose birth control.
Histroscopy is a very simple
short outpatient procedure.
We introduced the scope vaginally and if
there is any fibroid, we can remove it.
Patient goes back to work the next day.
For the larger fibroid, I can offer
them laparoscopic or robotic myomectomy.
The beauty of the robotic procedure
is that we can have access to
different aspect of the uterus in
through the small incisions.
Again is an outpatient procedure.
Patient can go home the same day.
The last resort and definitive
management is hysterectomy.
That option goes to the patients
who completed their family or not
interested in future fertility at
all and they want a definitive
surgical management to elevate
their symptoms of bleeding and pain
return. Our temporization is non
invasive compared to a surgery
has a faster recovery rate.
We enter the artery either from
the groin or from the rest,
a small artery in the rest that we
are one of the few places that do that
and we find our way to the arteries
that giving blood supply to the uterus
and then we use the small particles
to shrink the fibroid through the
blockage of the blood supply.
In some cases the fibroid imprecision
doesn't work as patient wish or
we we hope to see the effect.
But this procedure does not prevent
that patient can get other surgical
option and indeed the embolization
may make it easier for surgeon
to do a hysterectomy magnetomy.
We offer laparoscopic radiofrequency
ablation of the fibroid.
This is a very new method of shrinking
the fibroid with the radiofrequency which
caused heat to destroy the fibroid.
They will not eliminate the fibroid but
it will shrink the fibroids significantly.
But that's a very good option
for the patients having a heavy
menstrual bleeding and they are
not ready for more major surgery.
The year is unique that international
radiology and gynecologists and other
patients primary care.
They work together to make the best
treatment option available to patients.
Ultimately, this is the patient who
need to decide what they want to do,
and we try our best to individualize
every aspect of the treatment for every