MP’s first  and Only Fibroid Clinic :

Sahaj Hospital Indore is running MP’s first and Only Fibroid Clinic. We are proud to have this Feather in our hat. Whatever is the size of Fibroid and whatever be the no of Fibroid – They are removed 3D laparoscopically. we have a renowned Surgical team with the best quality care for Fibroid Patents. with Minimum or negligible blood loss, Scarless surgery with Minimal invasive surgery and get back to work very soon.

What is a fibroid in the uterus?

Uterine fibroids are tumors that grow from cells forming the muscle of the uterus (womb). Uterine fibroids which are also called leiomyoma or myoma of the uterus, can grow on the uterine wall and push out into the bladder, bowel, or intestine.

Fibroids are non-cancerous (benign) tumors that grow from the muscle layers of the uterus (womb) –  They are also known as uterine fibroids, myomas, or fibromyomas. The singular of uterine fibroids is Uterine Fibroma. Fibroids are growths of smooth muscle and fibrous tissue. Fibroids can vary in size, from that of a bean to as large as a melon.

Fibroids affect at least 20% of all women at some time during their life. Women aged between 30 and 50 are the most likely to develop fibroids. Overweight and obese women are at significantly higher risk of developing fibroids, compared to women of normal weight.

Malignant (cancerous) growths on the smooth muscles inside the womb can develop, called leiomyosarcoma of the womb. However, this is extremely rare.

Four types of fibroids

There are four types of fibroids and these are:

1. Intramural –These are located in the wall of the uterus. These are the most common types of fibroid.

 2.Subserosal fibroids – These are located outside the wall of the uterus. They can develop into pedunculated fibroids (stalks). Subserosal fibroids can become quite large.

3.Submucosal fibroids – These are located in the muscle beneath the lining of the uterus wall.

4.Cervical fibroids – These are located in the neck of the womb (the cervix).

Symptoms of uterine fibroids

Most women have no symptoms. That is why most patients with fibroids do not know they have them. When symptoms do develop, they may include:

  • Anemia(as a result of heavy periods)
  • Backache
  • Constipation
  • Discomfort in the lower abdomen (especially if fibroids are large)
  • Frequent urination
  • Heavy painful periods
  • Pain in the legs
  • Painful sex
  • Swelling in the lower abdomen (especially if fibroids are large)

Other possible symptoms of uterine fibroids include:

  • Labor problems
  • Pregnancy problems
  • Fertility problems
  • Repeated miscarriages.

Diagnosis of fibroids

In most cases, the symptoms of fibroids are rarely felt and the patient does not know she has them. They are usually discovered during a vaginal examination.

An ultrasound scan can often be used to diagnose fibroid.

  • Ultrasound – If the doctor thinks fibroids may be present he/she may use an ultrasound scan to find out. Ultrasound can also eliminate other possible conditions that may have similar symptoms. Ultrasound scans are often used when the patient has heavy periods and blood tests have revealed nothing conclusive.
  • Trans-vaginal scan – A small scanner is inserted into the patient’s vagina so that the uterus can be viewed close up.
  • HysteroscopyThis is a small telescope that examines the inside of the uterus. During this procedure, if necessary, a biopsy can be taken of the lining of the uterus (womb).
  • laparoscopy – laparoscopy is a small device that looks at the outside of the uterus – where the doctor examines its size and shape. A laparoscope is a small flexible tube. During this procedure, if necessary, a biopsy can be taken off the outer layer of the uterus.
  • BiopsyA small sample of the lining of the uterus is taken and then examined under a microscope.

Treatment Options-

Many women with uterine fibroids experience no signs or symptoms, or only mildly annoying signs and symptoms that they can live with. If that’s the case for you, watchful waiting could be the best option. Fibroids aren’t cancerous. They rarely interfere with pregnancy. They usually grow slowly — or not at all — and tend to shrink after menopause, when levels of reproductive hormones drop.

Medications

Medications for uterine fibroids target hormones that regulate your menstrual cycle, treating symptoms such as heavy menstrual bleeding and pelvic pressure. They don’t eliminate fibroids but may shrink them. Medications include:

  • Gonadotropin-releasing hormone (Gn-RH) agonists.
  • Progestin-releasing intrauterine device (IUD)
  • Other medications – For example, oral contraceptives or progestins can help control menstrual bleeding, but they don’t reduce fibroid size. Nonsteroidal anti-inflammatory drugs (NSAIDs)

Minimally invasive procedures-  3D Laparoscopic myomectomy.

Not all surgeons are trained in laparoscopic surgery; because of the small size of the incisions, removing uterine fibroids with laparoscopic myomectomy requires special training. Fibroids that are attached to the outside of the uterus by a stalk (pedunculated fibroids) are the easiest to remove laparoscopically.

Laparoscopic myomectomy is a surgical technique of removal of uterine fibroids preserving the uterus to grow abnormally. It’s a modern edge technology for fibroid removal.

Laparoscopic myomectomy is a successful surgical procedure that removes the fibroids keeping the uterus intact. The procedure is usually beneficial for women who are willing to be pregnant as the procedure improves the chances of pregnancy. The goal of the surgery is to remove the symptom causing fibroids and to reconstruct the uterus. The surgical method of myomectomy depends on several factors such as size, number, and locations of the fibroids.

Laparoscopic myomectomy is a minimally invasive surgical approach to remove the fibroids from the uterus. In this procedure, the doctor makes several small holes near the navel area and inserts a laparoscope into the abdomen. A laparoscope (long, thin tube), a camera attached to it, allows the doctor to view the internal structures of the uterus. Through another hole, the doctor inserts a surgical instrument to remove the fibroids. The fibroids are usually cut into smaller pieces and removed from the uterus. The advantages of the laparoscopic myomectomy involve less bleeding, less painful, and allow the individual to return back to normal activities quickly.

In the initial years of development, laparoscopic myomectomy was used only for subserous fibroids, and later on intramural fibroids were also treated by this technique. In the present times, it is most commonly used in infertile patients.

There was a significant decrease in the abortion rate from 41% to 19% post myomectomy surgery (Buttram VC, 1981).

After the laparoscopic myomectomy, usually, most of the patients may experiences relief from the symptoms and gradual improvement infertility. Hospitalization after surgery depends on the choice of surgical procedure. Mostly after laparoscopic myomectomy, the patient is discharged on the same day or sometimes the laparoscopic approach may require one night of hospitalization. Recovery of the condition may take one to six weeks of time depending on the procedure used. The patients are advised to follow the instructions, medications, lifestyle, and diet prescribed by the doctor to prevent future complications. Patients are also advised to attend the regular follow up schedule decided by the doctor. If any post-surgical complications or queries regarding the surgery occur, patients are suggested to consult the gynecologist or the health center