fibroids treatment in india

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Fibroids are Tumors that arise within the muscle of the uterus forming round masses. Some women have single fibroids as large as a football, others have multiple (up to 20 or more) which vary in size from a peanut to golf balls and larger.

Fibroids are named according to their position in relation to the uterine muscle and cavity.


What are Uterine Fibroids?

Laproscopic Fibroids Treatment - Uterine Fibroids Surgery in India

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1) Intramural fibroids are located within the wall of the uterus and are the most common type; unless large, they may be asymptomatic. It may cause heavy bleeding with clots. With time, intramural fibroids may expand inwards, causing distortion and elongation of the uterine cavity.

2) Subserosal fibroids are located on surface of the uterus and can become very large. They can cause pressure over bladder and rectum producing urgent urination and constipation with back pain.



3) Submucosal fibroids are located in the muscle beneath the endometrium of the uterus and distort the uterine cavity; even small lesion in this location may lead to bleeding and infertility.

4) Cervical fibroids are located in the wall of the cervix (neck of the uterus.

Types of Uterine Fibroids







What Problems do Fibroids Cause?

1) No Symptoms : most fibroids up to the size of an orange (12 weeks pregnancy) cause any symptoms. Their mere presence is not a reason to treat them.

2) Submucus : They protrude into the uterine cavity and cause menstrual cramps, heavy periods, infertility and repeated miscarriages. The diagnosis is often missed as the uterus is not enlarged and unnecessary hysterectomies have been performed for these. The diagnosis is made by hysterosonography or hysteroscopy.

3) Intramural : These fibroids are within the muscle of the uterus and can be very large. Because they enlarge the cavity of the uterus they can also cause heavy periods. The most common problem is PRESSURE symptoms on the bladder and rectum.






4) Subserous : These are external to the uterine muscle and are connected by a thin stalk. They are the least likely to be symptomatic and rarely need removal. TORSION (twisting) is a very rare complication.

5) Degeneration : Rarely there is liquifaction and bleeding within the center causing pain and fever. Infection may also occur. The most common occurrence is during pregnancy. Treatment is never surgery but conservative with fluids, pain and antibiotics.

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Fibroids and Infertility, Miscarriage1) Usually, the submucus fibroids cause repeated miscarriages.

2) Large intramural fibroids may be the cause of longstanding infertility if all other causes have been excluded.








Laproscopic (Minimally Invasive) Fibroids Treatment - Uterine Fibroids Surgery at World Class Hospitals in IndiaSurgical Treatment :

1) The treatment for removing the fibroids from the uterine muscle is known as MYOMECTOMY.

2) It is a specialized operation where the uterus is preserved for future fertility and only fibroids are removed.

3) This operation is traditionally done through a LAPAROTOMY via a 'bikini' or 'up and down' incision.

4) When the fibroids are less than 5 and less than 18 weeks size LAPAROSCOPIC myomectomy can be performed.







Laproscopic Myomectomy (Keyhole, Minimally Invasive procedure to remove fibroids)Myomectomy is the most suitable surgery option for women who have fibroids but wish to retain their uterus.

Laproscopic Myomectomy : The advantage of this is that patients can go home the same or next day and be back to work in 1-2 weeks.

We use laser, harmonic scalpel, knife or electro surgery to remove the fibroids. The skill of the surgeon is paramount to results.

Minilap Myomectomy : This is another technique pioneered at our center where large multiple (up to 24 weeks) can be removed through a 2-inch bikini incision.Patients can go home the next day after surgery.







Hysteroscopic Myomectomy : Submucus fibroids are removed by inserting a hysteroscope (small camera passed through the Vagina) and an electrical loop is used to remove the protruding part. This is rapid and effective surgery without the need of laparoscopy.

Estrogen is used after surgery to promote uterine lining re growth.

Total Laparoscopic Hysterectomy : When the family is complete and patient has a symptomatic fibroid, the whole Uterus is removed via only four small holes in the tummy using laparoscopic technique.








Minimal Pain

Minimal Blood Loss

Early Post Operative Recovery

No Scar



Laproscopic Myomectomy has many advantages over the abdominal (open) approach :-

Faster Recovery

A shorter hospital stay

Decreased Adhesion formation

Better chances of post surgery pregnancy





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