Fibroids are very common benign tumours of the uterus. 70-80% of females of reproductive age group have uterine fibroids. These can be discovered by chance or due to the symptoms that they may cause – depending on the size, number and location. Fibroids near the cavity usually cause abnormal uterine bleeding and pain. Fibroids away from the cavity and subserosal can be asymptotic. Less than 1% are malignant. If they are asymptotic and small then there is no need of treatment, only observation is indicated. Treatment for fibroids can be medical or surgical. Surgical therapy includes myomectomy or hysterectomy (abdominal or vaginal).
Surgical Treatment of Fibroids:
Myomectomy involves removal of just the fibroid and preservation of uterus. This procedure retains the fertility and menstrual function of the women. Open abdominal myomectomy is a complicated procedure because of many reasons and hence these days laparoscopic myomectomy is the preferred choice. In this technique, fibroids are removed from the uterus by a laparoscope. It involves delicate techniques like laparoscopic suturing and tissue removal and should be done with a competent surgeon capable of handling all this. Prior to that endometrial biopsy and diagnostic hysteroscopy should be done to rule out premalignant and malignant conditions.