Traditional Surgical Options for Fibroids
Traditional surgical procedures for fibroids include a myomectomy, where just the fibroids are surgically removed, and a hysterectomy, where the uterus is removed.
A myomectomy is generally recommended for those who have multiple or very large fibroids and want to preserve their uterus. While the procedure is extremely effective, there is always the possibility that additional fibroids could grow over time. The younger you are, the greater the chance the fibroids will recur.
A hysterectomy involves removal of the uterus (not the ovaries) and is considered major surgery. A hysterectomy is generally the surgery of choice for women who have completed their childbearing years. The good news is fibroids cannot grow back and heavy menstrual bleeding is eliminated. The hysterectomy can be performed vaginally, abdominally, or laparoscopically, depending on the size of the uterus and other factors. Recovery time is anywhere from four to six weeks and faster with the laparoscopic or robotic approach.
New approaches to the treatment of fibroids include ultrasound-guided microwave energy to shrink the fibroids without requiring an incision as this treatment is performed transvaginally.