練馬総合病院

診療部

【Uterine Fibroid(=leiomyoma uteri)】

There are two surgical options for the condition of uterine fibroid.

1) Laparoscopic uterine fibroid enucleation
If you desire to preserve your uterus, this procedure is chosen.
In this surgery, only the uterine fibroids are removed.
Procedures
1: Inject vasopressin into uterus to reduce bleeding
2: Cut into the uterus and remove fibroids
3: Repair the uterine wall with sutures
4: Remove the fibroid through vagina or navel’s incision
5: Close the incisions

2) Laparoscopic total hysterectomy
The term hysterectomy is described as the removal of your uterus.
If you desire to have a radical treatment, this procedure will be appropriate.
Menopausal disorder is not induced by the hysterectomy when your ovaries are
preserved.
Procedures
1: Resect the uterus including fibroid as a whole from the adjacent tissues and take it
out through vagina
2: Close the vaginal stump and incisions with sutures

While there are no particular restrictions on the size or the number of fibroids at this hospital, please consult us to determine if which type of treatment is the best for you.
Generally, uterine fibroid enucleation requires a longer time of surgery, increased intraoperative blood loss, increased risk of postoperative rebleeding compared with total hysterectomy and have a risk of recurrence.
When you will be pregnant after the enucleation, Caesarian section is strongly recommended.

Beside a surgical treatment, there are an expectant management, hormonal treatments, and/or intravascular catheter treatment.
Please make sure that you fully understand the curability of this disease and the risk of complications before deciding which therapy you choose.

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