Uterine fibroids, in Hindi, Causes, Signs and Symptoms, Diagnosis and Treatment | क्या होते है?
Channel: Dr. Jasmeet Singh Ahluwalia
Date: 2023-07-19

Greetings, my dear friends! I am Dr Jasmeet Singh Ahluwalia, a skilled Bariatric and Advanced Laparoscopic Surgeon. In this informative video, we will delve into the topic of Uterine Fibroids.

Although our patients primarily seek the expertise of gynecologists, our advanced laparoscopic surgical techniques allow us to assist in the treatment of uterine fibroids. Hence, we have created this video to enlighten you about the nature of Uterine Fibroids, their symptoms, diagnostic methods, and available treatments.

Uterine fibroids refer to non-cancerous tumors that develop in the uterus. These growths occur spontaneously in some patients, similar to various other conditions within the body. They can manifest in different regions of the uterus and vary in size. Fibroids may be located outside the uterus (known as sub-serous fibroids), within the uterine muscle (referred to as intramural fibroids), or adjacent to the inner lining of the uterus (known as sub-mucous fibroids). They can range from a single fibroid to multiple fibroids of varying sizes.

Now, let's discuss the symptoms associated with uterine fibroids. While some patients may exhibit no noticeable symptoms, fibroids are often incidentally discovered during abdominal scans conducted for other reasons. Excessive bleeding is a common symptom in patients with fibroids located inside the uterus. Large fibroids can cause pain, particularly back pain, when they press against the back of the uterus. Additionally, some patients may experience urinary symptoms due to the proximity of the uterus to the urinary bladder, resulting in frequent urination. Pressure exerted on the rectum by fibroids can lead to complaints of constipation. 
 
As for diagnosis, a simple ultrasound scan can often identify the presence of fibroids, their number, and size. In case of uncertainty, doctors may recommend MRI or CT scans for a clearer picture. Infertility is another significant symptom associated with fibroids, particularly when submucous fibroids hinder the process of conception, leading to implantation failure.

Let's move on to the available treatments for fibroids. If the fibroids are small, asymptomatic, and not causing any discomfort, a "wait and watch" approach can be adopted. In such cases, no immediate surgery is required, as the risk of cancer development is minimal. Moreover, fibroid size tends to decrease after menopause.

However, if you are experiencing symptoms related to fibroids, as mentioned earlier, treatment becomes necessary. Medications are available to reduce the size of fibroids, although they generally do not provide a complete cure. In certain cases, doctors may prescribe these medications to delay surgery.

Surgical intervention for fibroids can be performed in two ways. The traditional open surgery involves making an incision in the abdomen to remove the fibroids while preserving the rest of the uterus. Alternatively, advanced laparoscopic techniques offer numerous advantages, such as smaller incisions, faster patient recovery, reduced post-operative pain, and fewer adhesions in the pelvic region. Laparoscopic procedures minimize the risk of infertility associated with open surgeries in the lower abdomen, as fewer structures are disturbed. Additionally, laparoscopic and robotic-assisted surgeries provide precise maneuverability within the pelvis, allowing delicate suturing using self-locking or barbed sutures. These innovative techniques have proven effective in various gynecological surgeries, including fibroid removal, hysterectomy, ovarian cyst removal, and treatment of endometriotic cysts.

In cases where patients have completed their families, reached menopause, or are of advanced age, the option of uterus removal can be considered. This procedure can be performed through open, laparoscopic, or robotic-assisted methods. Rest assured, fibroid or uterus removal surgeries are typically straightforward and should not cause excessive concern. If you are experiencing troublesome fibroid symptoms, I urge you to consult with your doctor promptly. The solution is often straightforward, and undergoing surgery can help you regain a normal, healthy life.

STAR Hospital - Region's First Internationally Certified Super-Specialist Centre for Bariatric Surgery | Weight Loss Surgery | Metabolic Surgery | Diabetes Surgery

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


Star Hospital

265, Lajpat Nagar, Guru Nanak Mission Chowk, 
Jalandhar, Punjab, 144001

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