Uterine Fibroids Treatment Options

Treatment options:

There are a number of treatment options for uterine fibroids. In the past, the most common treatment was a hysterectomy. Today, there are more treatment options for women with symptomatic fibroids to choose from.  When looking at the available options available, you need to consider several factors such as: age, general health, severity of symptoms, obstetric history and location of fibroid(s) in the uterus.

 

MR guided Focused Ultrasound Surgery
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This is a non-invasive, outpatient procedure for treating uterine fibroids. The treatment preserves your uterus and fertility.

The treatment requires no incisions, no anaesthesia, no hospitalisation and offers quick recovery time and return to normal life (1-2 days).

Uterine Artery Embolisation
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The doctors inject the uterine artery with polyvinyl alcohol beads, using a catheter. This blocks the flow of blood to the fibroid leading to its necrosis.

  • No general anaesthesia
  • No hospital stay
  • 1 -2 weeks home recovery
Laser Treatment for Uterine Myoma
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Combines MR imaging, or laparoscopic myolisis with lasers to cut off blood supply to the fibroid. The treatment may cause skin burns.

This treatment also requires the use of general anaesthesia but there is no hospitalisation involved. Recovery time is around a week long.

Laparoscopic Myomectomy
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Laparoscopic Myomectomy with Mini-Laparotomy allows for the removal of slightly larger fibroids than what the laparoscope alone can handle. The treatment usually includes a relatively small incision of 3 inches or less in the abdomen.

General anaesthesia is required and recovery time stands at 1-2 weeks.

Hysteroscopic Myomectomy
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Removal of fibroids by inserting a hysteroscope through the vagina and the cervix into the uterus.

This treatment also requires the use of general anaesthesia. There is no hospitalisation and recovery time is quick (1-3 days)

Robot-Assisted Myomectomy or Robotic Myomectomy
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A minimally invasive procedure that uses laparoscopic myomectomy through small “keyhole” incisions.

This treatment requires the use of general anaesthesia, and recovery time of about 2-6 weeks

Abdominal Myomectomy
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Removal of one or more of the fibroids through an incision in the abdomen (to enable access to the uterus).

This procedure requires use of general anaesthesia and a recovery time of about four weeks.

Laparoscopic Assisted Vaginal Myomectomy (LAVM)
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LAVM combines laparoscopic myomectomy with a vaginal incision for fibroid removal.

This treatment also requires the use of general anaesthesia and a recovery time of about a week and a half.

Hysterectomy
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Surgical removal of the uterus. Due to its invasive nature, this procedure requires use of general anaesthesia and about 6 weeks to recover from time for recovery.
Since your uterus is gone, there will be no pregnancies following this procedure.

Watchful Waiting
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No treatment. Monitoring for any progression of symptoms.