Risks of hysterectomy Most women don't have problems from this surgery. But possible long-term problems include: Scar tissue that can cause pelvic pain. Early menopause caused by a slow, early decline of the ovaries. Weakness of the pelvic muscles and ligaments that support the vagina, bladder, and rectum. This can cause bladder or bowel problems. Trouble urinating.
Pelvic pain. If you had pain before surgery, taking out your uterus may not relieve your pain. What are the risks of having either surgery? But problems can include: A fever. A slight fever is common after any surgery. Rare problems, such as: Infection. Blood clots in the legs or lungs. Scar tissue also called adhesions. Injury to other organs, such as the bladder or bowel. A collection of blood at the surgical site.
Continued heavy bleeding. Some vaginal bleeding within 4 to 6 weeks after you have the uterus removed is normal. Problems from the medicine used to make you sleep during surgery. Severe blood loss that causes you to need more blood transfusion.
Why might your doctor recommend surgery to treat fibroids? Your doctor might suggest that you have surgery to take out just your fibroids if: You want to treat your fibroids in a way that may make it possible for you to get pregnant later. Your doctor might suggest that you have surgery to remove your uterus if: You have bad symptoms and : Other treatments have not helped. You're not near menopause. You don't plan to have children or more children.
There is a risk of cancer. Compare your options. Compare Option 1 Have surgery to take out fibroids or your uterus Don't have either surgery. Compare Option 2 Have surgery to take out fibroids or your uterus Don't have either surgery. Have surgery to take out fibroids or your uterus Have surgery to take out fibroids or your uterus You may take the hormone GnRH-a before surgery to shrink your fibroids.
You may have outpatient surgery, which means you would go home the same day. Or you may spend 1 to 4 days in the hospital after surgery. Recovery can take from a few days to 6 weeks, depending on the type of surgery you have.
If you have your uterus taken out, you won't be able to get pregnant. Either surgery can ease your pain and other symptoms. Surgery to take out just your fibroids myomectomy may make it possible for you to get pregnant. Surgery to take out your uterus hysterectomy will cure your fibroids. Both surgeries have risks, some of which are rare.
Risks include bleeding, infection, and scar tissue. Cutting into the uterus to take out just the fibroids could cause a problem with how the uterus works in a future pregnancy. Pelvic pain that you had before either surgery may not get better. If you have just the fibroids taken out but not the uterus, the fibroids can grow back. Don't have either surgery Don't have either surgery You may take hormones GnRH-a to shrink the fibroids. You may have other procedures such as fibroid embolization , endometrial ablation or magnetic resonance guided ultrasound.
You may choose to have surgery later if you change your mind. You may be able to control your symptoms without surgery. If you have bad symptoms and are close to menopause, you may be able to control your symptoms long enough to go through menopause. You won't have the risks of surgery. Your pain or other symptoms could get worse. If fibroids are making it hard for you to get pregnant, NSAIDs and hormones won't help you get pregnant. NSAIDs can cause bleeding and other problems in some people.
Talk to your doctor before taking them. Hormones can have serious side effects, such as menopause symptoms and bone-thinning.
Fibroid embolization can have side effects such as infection and pain. Personal stories about surgery to treat uterine fibroids These stories are based on information gathered from health professionals and consumers.
What matters most to you? Reasons to have surgery for fibroids Reasons not to have surgery for fibroids. Fibroids aren't keeping me from getting pregnant. I can control my symptoms with medicine. I want to do everything I can to treat my fibroids.
I don't want to have any surgery. My other important reasons: My other important reasons:. Where are you leaning now? Having surgery NOT having surgery. What else do you need to make your decision? Check the facts. True Sorry, that's not right. Fibroids can grow back after surgery to take them out.
The only cure for fibroids is surgery to take out your uterus hysterectomy. False You're right. I'm not sure It may help to go back and read "Get the Facts. The only cure for fibroids is surgery to take out your uterus. True That's right. Surgery to take out fibroids is the best choice if you want to get pregnant. Surgery to take out your uterus would mean that you can't get pregnant.
False Sorry, that's not right. True You're right. Fibroids usually get smaller or go away after menopause. Taking nonsteroidal anti-inflammatory drugs NSAIDs and maybe hormones may help your symptoms until you go through menopause.
False No, that's not correct. Taking anti-inflammatory medicine and maybe hormones may help your symptoms until you go through menopause. Decide what's next. Yes No. I'm ready to take action. I want to discuss the options with others. I want to learn more about my options. Use the following space to list questions, concerns, and next steps. Your Summary. Some surgeons also perform laparoscopic surgeries, which use smaller incisions but require more skill.
Although a myomectomy preserves the uterus, women who wish to become pregnant should speak to a doctor about the possible complications. Those with very large or deeply embedded fibroids may only be able to have cesarean deliveries after this procedure.
New fibroids may develop after a myomectomy, which means that it is not a permanent solution for everyone. Radiofrequency ablation destroys fibroids using either an electric current, a laser, cold therapy, or ultrasound. It requires only a small incision. However, it can cause dangerous pregnancy complications, such as scarring and infection, so doctors do not recommend it for those who are planning future pregnancies.
Radiofrequency ablation may be a good option for people considering a hysterectomy who want a less invasive procedure. During endometrial ablation, a surgeon uses a range of techniques — which may include heat, electric current, freezing, lasers, or wire — to destroy the lining of the uterus. These techniques reduce or stop heavy bleeding. This procedure is less invasive than some other surgical options. Sometimes, doctors can even perform it on an outpatient basis in their office. This procedure may prevent women from being able to get pregnant in the future, so it is not a good option for those who would still like to have children.
Learn more about endometrial ablation in this article. A doctor can locate the blood vessels that feed into the fibroid and disrupt their blood supply. The lack of blood shrinks the fibroids. Doctors can do this procedure on an inpatient or outpatient basis, and recovery is usually fairly straightforward. Fibroids do not typically grow back after embolization.
While pregnancy is sometimes possible after fibroid embolization, doctors do not know enough about the risks. Therefore, they do not recommend this procedure for women who wish to get pregnant. In magnetic resonance-guided focused ultrasound MRgFUS , a doctor uses an ultrasound to heat and destroy fibroids. This procedure can target the individual fibroids and avoid affecting the surrounding healthy tissue.
MRgFUS may be a good option for women who plan to get pregnant, as it leaves the uterus intact. However, more data is necessary to confirm its safety for these individuals. A hysterectomy is a surgery to remove the uterus and, sometimes, the ovaries. A hysterectomy permanently eliminates uterine fibroids. This procedure is not an option for anyone planning a future pregnancy, as it removes the womb.
Some people opt to leave the ovaries in place so that they continue producing estrogen. A surgeon may be able to perform a laparoscopic hysterectomy, which uses several small incisions and a tiny camera to help the surgeon see inside the abdomen. An open hysterectomy requires a large incision between the bellybutton and the bikini line. Another option is a vaginal hysterectomy, which is the approach that most people prefer.
In this procedure, a surgeon will remove the uterus through the vagina. A vaginal hysterectomy may not be possible if the uterus or fibroid is too large to fit through the vagina. Individuals who undergo an open hysterectomy may have a longer recovery time.
Doctors usually recommend a hysterectomy only for those whose fibroids are very large or significantly interfere with their quality of life. People who have other reproductive health issues, such as endometriosis , may find that a hysterectomy provides significant relief from fibroids and other symptoms. She may have related symptoms due to its bulk size, like constipation or increased urination. If a woman sees her doctor because she is having increased bleeding or a heavy menstrual cycle, the doctor will likely check for uterine fibroids, but these symptoms can also be due to things such as uterine polyps, dysfunctional uterine bleeding or bleeding caused by hormonal imbalances.
Fibroids are typically diagnosed by ultrasound. The first step might be an exam by your doctor, where he or she would feel an enlarged uterus and suspect fibroids. For smaller fibroids, the only way to diagnose them is often with ultrasound. Some doctors may choose to also do an MRI of the pelvis as a way to see exactly where the fibroids are.
It depends on symptoms and size. For example, if a woman has fibroids inside the uterine cavity, we may do a hysteroscopic myomectomy, in which we look inside the uterus with a camera. If a woman has severe symptoms, and if the fibroids are in the muscle or outside of the uterus, surgery may be the best option. In that case, robotic-assisted laparoscopic myomectomy is more common.
This is a minimally invasive procedure that involves making four to five small incisions in the abdomen. We then use small instruments attached to robotic arms to remove the fibroids through these very small openings.
In severe cases, a woman would have an open myomectomy, which is also called abdominal myomectomy. This surgery requires an incision either in the bikini area or a vertical incision along the abdomen.
We then remove the fibroids through this incision. Some nonsurgical management of uterine fibroids may include medicine that can help suppress their growth, such as birth control pills.
0コメント