Uterine fibroids are a benign formation that forms when a woman’s hormonal levels are disrupted. There are several types of uterine fibroids depending on location. Intramural fibroids are located in the middle layer of the muscles of the genital organ, and the subserous variety grows into the abdominal cavity and is localized in the outer surface of the muscle layer. The “Other Gynecology” clinic uses modern techniques in the treatment of intramural fibroids .
Treatment of intramural fibroids
Therapy for intramural uterine fibroids, which are located in the muscles, consists of an integrated approach. It is selected individually and depends on the location of the pathology, its size, the speed of spread and the patient’s desire to become pregnant and give birth to a child in the future. At the Other Gynecology clinic, treatment of this type of fibroid is carried out using the following methods:
- Conservative treatment. With it, the patient is selected drugs that stop the growth of fibroids and start the process of tumor shrinkage. Treatment lasts several months and does not eliminate the formation completely. Conservative techniques are often used to prepare for surgery.
- Embolization of the uterine arteries. During the operation, the surgeon artificially cuts off the blood supply to the uterine fibroids. This leads to necrosis of the tissues of the formation and the gradual disappearance of the tumor, which reduces the symptoms of the disease in the patient. This method is the most gentle and safe, and is used to treat women who want to bear a child in the future.
- Surgical intervention.
The operation is carried out using several methods:
- Hysteroscopy. During this procedure, a hysteroscope is inserted into the cavity of the reproductive organ. It is a device with an optical system and miniature surgical instruments. The operation is performed under the visual control of the surgeon using a monitor screen.
- Laparoscopy. The method is the safest and most gentle; it involves two punctures in the abdominal wall. Instruments are inserted through them and air is pumped in.
- Laparotomy. This is an abdominal operation that is performed through an incision in the lower abdomen.
In extreme cases, radical intervention is performed - complete removal of the uterus. This operation is performed when there is a significant change in the structure of the uterus due to several large fibroids, a high probability of degeneration into an oncological process, as well as for patients in the period after the cessation of menstruation who will no longer be able to have children.
Treatment of subserous-intramural fibroids
Surgery is used to treat subserous-intramural fibroids. As a preliminary preparation, drug therapy is carried out using hormones to suppress the growth of the tumor. It has an effect only if the size of the fibroids is no more than 12 weeks of pregnancy. If the fibroids are very large, then surgery is prescribed as soon as possible, since such pathologies put pressure on neighboring organs and disrupt their functioning.
To remove fibroids in the muscular layer of the reproductive organ, three methods are used:
- Embolization of the uterine arteries. The method is indicated only for tumors without a stalk, since when the fibroid dies, the stalk can twist, which will cause severe pain. This complication requires urgent surgical intervention.
- Surgical removal. When two types of fibroids develop, laparotomy (abdominal surgery) is performed. With it, pathological tissues are excised without affecting healthy ones. To prevent recurrence of the tumor, a course of hormone therapy is carried out.
- Uterus removal. Hysterectomy is indicated when a woman reaches menopause or is at risk of developing a malignant tumor.
To perform abdominal intervention, serious indications are required:
- compression of neighboring structures by the tumor with disruption of function;
- rapid growth of fibroids;
- detection of fibroids more than 13 weeks of pregnancy;
- acute condition – torsion of the tumor stalk;
- heavy uterine bleeding, which causes anemia;
- transition to a malignant form.
At the Other Gynecology clinic, the type of operation is selected taking into account all factors of the patient’s health.
