Operating On a Uterine Fibroid: The Inside Out Technique

Fibroids that hang from the inside of the uterus are called submucus myomas. These types of fibroids can cause very heavy periods, and require treatment. There are medical treatments prior to surgery, and those have been discussed in other posts. They have a typical appearance when seen by your gyno when she is peering inside the uterus with her high tech camera. The appearance is very white tissue, often round or roughly specifically shaped and covered with a network of very tiny blood vessels. Fibroids that grow quite large and hand off the back wall of the uterus or are completely encassed in the wall of the uterus often produce no symptoms at all. But these tiny lining fibroids can cause heaps of trouble. Because of that operating from the inside and working our way a bit into the wall of the uterus when necessary is both more effective and less invasive for a woman seeking to treat her fibroids quickly and effectively. This can be done with an operative loop on a hysteroscope, or a device called a Myosure. It's often done under local anesthesia, or sedation, but can be done under general anesthesia as well. Most women will return to work in a day or after a relaxing weekend. An ultrasound can help determine if you are a candidate for this type of treatment. Other techniques for removing uterine fibroids are done through laparoscopic surgery, and this site has a few excellent pictures of that type of technique.


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