Fibroids are non-cancerous growths in the uterus and are also called uterine myomas or leiomyomas. They are a very common issue with up to 80% of women developing them by the time they hit 50. Most women however do not show any symptoms of it. Fibroid growths are enclosed inside the capsules attached to the walls of the uterus and do not spread to other parts of the body. There can be single or multiple fibroids and they are named after the place of its occurrence in the womb. For instance, intramural fibroids grow in the muscular wall of the womb and are the most common. The submucosal fibroids grow from the inner wall to the space inside the womb. In subserosal fibroid, the growth occurs from the outside wall of the womb to the pelvic cavity. These are the large ones. Presence of fibroids can cause the following symptoms:
- Heavy and prolonged periods leading to anaemia
- Pain in the pelvic area
- Swelling in the pelvic area
- Frequent urination
As usual, if medicines don’t work, then one has to switch to surgical removal of the fibroid. The various surgical procedures involved in fibroid removal are Myomectomy, Uterine artery embolisation (UAE), Endometrial ablation or resection and Hysterectomy.
These are benign (non cancerious) tumours. There are 3 types of fibroid on the utereus
They can vary in size and number.
They are removed by open or laparoscopically depending on the individual and the number and size of the tumour.
Removal of the utereus. This can be done by the conventional method which is open method and through the laparoscopy. Several factors are considered before opting for the most suitable method for the individual patient.
In the open method the hospital stay is also only two nights, but rest at home is advised for one month. In laparoscopy also hospital stay is about 2 nights but return to work is between 7 to 10 days later. The methodology should be left to the surgeon.