Laproscopic myomectomy uterine fibroid removal question…?
I have a 7 cm fibroid and 3 cm fibroids. I don’t have heavy bleeding but occasional discomfort. I don’t want to get pregnant but I don’t want to remove my uterus.
I don’t want to take hormone medicines or shots but I want to remove ONLY MY FIBROIDS, not my uterus. My uterus is perfectly healthy so why remove it? However, I’ve seen 3 doctors and they all say they don’t have confidence in doing that due to complications. They want to make it simple and remove the uterus too.
I have a friend who got her uterus removed along with her fibroids and now she feels fatigued and not sexually excited as before.
Anyone here surgically removed your fibroid with or without getting your uterus removed? Please tell me your experience and after-effects…
Also, any treatment for fibroid besides surgical removal that does NOT trigger menopause or affect your hormones??? I don’t want my hormones affected..
Filed under: Fibroids Removal
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Fibroids that are attached to the outside of the uterus by a stalk (pedunculated myomas) are the easiest to remove laparoscopically. Many subserous myomas (close to the outer surface) can also be removed through the laparoscope.
Fibroids that are deep in the wall of the uterus, or submucous are most difficult to remove laparoscopically. Although there have been successful pregnancies after laparoscopic removal of deep or multiple myomas, the real question is whether or not the uterus can be repaired as well through the laparoscope as can be done through an abdominal myomectomy.
What is a laparoscopic myomectomy?
Laparoscopic myomectomy for uterine fibroids
Which fibroids can be removed laparoscopically?
Fibroids that are attached to the outside of the uterus by a stalk (pedunculated myomas) are the easiest to remove laparoscopically. Many subserous myomas (close to the outer surface) can also be removed through the laparoscope.
Fibroids that are deep in the wall of the uterus, or submucous are most difficult to remove laparoscopically. Although there have been successful pregnancies after laparoscopic removal of deep or multiple myomas, the real question is whether or not the uterus can be repaired as well through the laparoscope as can be done through an abdominal myomectomy.
What are the advantages and disadvantages of laparoscopic myomectomy?
The advantage of a laparoscopic myomectomy over an abdominal myomectomy is that several small incisions are used rather than one larger incision. It is important to understand that even a laparoscopic myomectomy is real surgery, and often requires several weeks of recovery. Another major factor in recovery time is motivation; I have found motivation can be just as important in recovery as the type of surgery.
One concern when there are multiple fibroids is of leaving smaller myomas behind. Often it is necessary to feel the uterus to find the smaller myomas; these likely would be left behind during a laparoscopic myomectomy. To summarize, I think laparoscopic myomectomy is best for pedunculated and superficial myomas. When there are deep myomas and a large number of myomas, I think that it is possible to repair the uterus better by doing an abdominal myomectomy.