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Subserosal, Pedunculated, Intramural and Submucosal Fibroids.

> Cervical Screening
> Colposcopy
> After Colposcopy
> Loop Diathermy
> Testing for HPV
> Laparoscopy
> Hysteroscopy
> Hysterectomy
> Myomyectomy
> Endometriosis
> Polycystic Ovaries
> Menorrhagia
A myomectomy is an operation to remove fibroids, which are benign muscular growths in the uterus (womb). Fibroids may need to be removed for several reasons, such as pain, heavy bleeding or fertility problems.

Prior to surgery, you will probably have an ultrasound scan to assess the size and location of the fibroids.

How is it done?

Fibroids are usually removed under general anaesthetic. They may be removed either hysteroscopically ("key-hole surgery"), which involves a telescope being inserted through the cervix, and the fibroid may then be cut away with no cuts in the tummy. This is only suitable for smaller submucous fibroids, which bulge into the uterine cavity. Some smaller fibroids may be removed laparoscopically (also "key-hole surgery"); this involves inserting a telescope through the tummy button, and the fibroids are removed using two smaller holes in the abdomen. Large fibroids need to be removed "open" through a cut in the abdomen, which is usually below the bikini line.

Are there any complications?

All operations and anaesthetics carry some risks. You may bleed during the operation, and occasionally a blood transfusion is required.
If you have an "open" procedure you may experience pain from the wound for some days, and usually stay in hospital for 4-5 days. If you have key-hole surgery, you will usually go home within 48 hours. Infections may occur in the wound.

Chest infections and deep vein thrombosis are rare complications. In extremely rare circumstances, a woman may bleed so much that she requires a hysterectomy.

Are there any alternatives to surgery?

There are injections that reduce the size of fibroids, but the fibroids tend to grow back as soon as you stop having the injections (which should only be given for 6 months). When you go through the menopause, the fibroids usually shrink.

Uterine artery embolisation is an exciting new technique performed by a consultant radiologist; via a catheter in the groin, the blood supply to the fibroids is injected. The fibroids usually shrink after this. It is only suitable for certain types of fibroid.

The Consulting Suite
The Portland Hospital
212 Great Portland Street
London W1W 5QN

020 7390 8079
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