Fibroid Uterus Treatment in Karnal | Fibroid Uterus Surgery in Karnal | Fibroid Uterus Doctor
Channel: Dr. Jasmeet Singh Ahluwalia
Date: 2024-02-21

STAR Hospital - Region's First Internationally Certified Super-Specialist Centre for Bariatric Surgery | Advanced Laparoscopic Surgery

Dr. Jasmeet Singh Ahluwalia
(MS, FNB-MAS, FBMS)
Super-Specialist Bariatric, Laser & Advanced Laparoscopic Surgeon

STAR Hospital
Jalandhar-Punjab
India

Helpline: +91-9888958889

Website: http://drjasmeetahluwalia.com

YouTube channel : https://youtube.com/c/drjasmeetsinghahluwalia

Facebook page: https://m.facebook.com/drjasmeetahluwalia/

Google Map Link -  
Dr Jasmeet Singh : http://location.drjasmeetahluwalia.com
Star Hospital : http://location.thestarhospital.com

Appointment: 0181-4674888

Female Laparoscopic Surgery (key-hole method) -

Hysterectomy – Total Laparoscopic

Ovarian Cyst – clear or chocolate or dermoid

Uterine Fibroids

Ectopic Pregnancy

Recanalization after tubectomy

Tubectomy for family planning

Diagnostic for infertility with checking of tubes

FIBROID IN UTERUS

Uterine fibroids are very common and are simple (non-cancerous) tumors that are formed inside or on uterus. One may have a single fibroid or many and their size can also vary from being very small to very large. In medical language they are known as leiomyoma. They may be growing into muscle of uterus or may grow towards inner or outer side of uterine wall. They may or may not cause any symptoms and do not always need treatment.

RISK FACTORS for getting fibroids-

Obesity
Family history of fibroids
Early age at menstruation
Not bearing child
Getting early onset of menstruation
Attaining late menopause

TYPES of fibroids-

Submucosal fibroids: These fibroids are growing inside the uterine space (cavity).
Intramural fibroids: These fibroids remain inside the wall of the uterus.
Subserosal fibroids: These grow on outer surface of uterus.
Pedunculated fibroids: These fibroids are also located on the outside of the uterus but they are connected to the uterus with a thin stem.

Is there a risk for cancer with fibroids?

It is quite rare for a fibroid get transformed into cancer but still it is possible.

CAUSES-
Most fibroids happen in women of reproductive age but their exact cause is not yet known.

SYMPTOMS-
Excessive bleeding during menses
Painful menses
Pain or fulness in lower abdomen
Low back pain
Infertility
Vaginal discharge
Frequent urination
Abdominal distention like in pregnancy if fibroid is very big

TESTS:

Ultrasound: This is the most common test.
Magnetic resonance imaging (MRI): in some cases of doubt or when a cancer is suspected, MRI may be recommended.
Computed tomography (CT): Again in cases of doubt a CT scan may be ordered to get more detailed view of uterus and surrounding organs.

TREATMENT

Observation-
If fibroids are small and are not causing any symptoms, one may not need any treatment and wait till menopause when they are expected to shrink or at least stop growing.

Medication- No drug is uniformly effective against fibroids so that they can dissolve fibroids. At best they can control heavy menstrual bleeding or temporarily shrink the size of a large fibroid. You can discuss these options with your doctor if you are not willing for surgery at present.

Myomectomy – This means removal of fibroid from uterus. This can be done by open method or by laparoscopic (Key Hole) or by hysteroscopic method.

Open Surgery – Incision is given in lower abdomen and fibroids are removed through this large cut. Not recommended these days by expert doctors unless same surgery can not be done by laparoscopic method.

Laparoscopic Surgery – Same surgery is done via very small holes – typically one hole that is 1cm and three holes which are just 0.5cm. This method has many advantages of open surgery-
Much smaller cuts
Much less pain
Much better recovery
May lead to less blood loss
Early return to work
Less pelvic adhesions – so much better for patients who wish to conceive after surgery.

Hysteroscopic Surgery: Fibroid that is projecting into the cavity of uterus can be removed by this method where a thin scope is inserted through vagina into the uterus.

Hysterectomy: Removal of uterus may be a choice for patients who-
Have completed their family and want a one time procedure as after hysterectomy uterine fibroids can not come back.

Risks involved in fibroid surgery-

In general these are quite safe surgeries but as with any other surgery, there are certain risks involved like-
Infection
Bleeding
Anaesthesia risk
Injury to surrounding structures

At what size fibroids need surgery?

Sometimes a small fibroid causes symptoms like excessive bleeding or infertility and needs removal. Sometimes a large fibroid causes symptoms due to its size by putting pressure on surrounding structures like urinary bladder, ureters, rectum etc and hence need removal. Any fast growth in size of fibroid is another indication for surgery.

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