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Doctor insights on: Laparoscopy For Fibroids

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Is abdominal myomectomy an effective treatment for uterine fibroid tumors?

Is abdominal myomectomy an effective treatment for uterine fibroid tumors?

No: I would highly recommend removing them laparoscopically (minimally invasive approach). Although this method is more difficult to perform, for the patients, there will be great benefit (cosmetically small pleasing scars, 2 week recovery, less pain, quicker return to work). Please do your homework and find a skilled laparoscopic surgeon. The differences are night and day! ...Read more

Dr. Erik Borncamp
9 doctors shared insights

Fibroids (Definition)

Uterine fibroids are the most common pelvic tumor in women. 1 of every 3 women of child-bearing age have these tumors and up to 80% of african-american women have fibroids. They are often asymptomatic but they can also cause significant symptoms. It is the most common cause of heavy menstrual bleeding. Pelvic pain and increased urinary frequency ...Read more


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Can uterine fibroids and/or adenomyosis reoccur after having a hysterectomy?

Can uterine fibroids and/or adenomyosis reoccur after having a hysterectomy?

No, not really: Adenomyosis is when the lining cells of the uterus are located just deep to the lining (but still within the uterus). It can be thought of as endometriosis of the uterus. Hysterectomy would remove this. Almost all fibroids are in the uterus also and would be removed with hysterectomy, although there are fibroids on rare occasions outside the uterus which could be missed/reoccur but very rare. ...Read more

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Hello doctors, can uterine fibroids be removed with laporoscopy?

Hello doctors, can uterine fibroids be removed with laporoscopy?

Fibroids: Yes, but size and location are critical in succeeding in what's called a myomectomy. The current method is "on hold" as the FDA is reviewing the method of removing the tumor(s) from the abdomen in a laparoscopic method. ...Read more

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What's done for endometriosis?

What's done for endometriosis?

Endometriosis: Surgery is the gold standard, and reduces the amount/extent of disease. The most effective medical treatment is the drug lupron(r). It is costly with some side effects, but is safe and often as good for pain as surgery. The injectible contraceptive depo-provera gives mixed results. A much older drug, danazol, is mostly no longer used. ...Read more

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Is pregnancy possible after bilateral endometriosis surgery (laparoscopy cystectomy)?

Is pregnancy possible after bilateral endometriosis surgery (laparoscopy cystectomy)?

Yes: As long as there are no other fertility problems, you should have a chance to conceive after removing bilateral endometriomas. If you do not get pregnant after 6 months of attempts, you may want to consider setting an infertility specialist for assistance. ...Read more

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I have endometriosis and fibroid tumors (occasionally ovarian cysts). OB recommend hysterectomy. Read about Acessa. Wondering: procedure any good?

I have endometriosis and fibroid tumors (occasionally ovarian cysts). OB recommend hysterectomy. Read about Acessa. Wondering: procedure any good?

Perhaps not for you: Acessa is a novel, fairly good and very promising procedure for treating uterine fibroids and preserve the uterus. Its success depends often on the size, location and number of fibroids in a uterus. It is not a treatment for endometriosis. Hysterectomy laparoscopic, transabdominal or transvaginal at this point in your life may not be a bad recommendation, particularly if you are very symptomatic ...Read more

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Subsequent to surgery for removing an ovarian cyst, endometorioma?

Subsequent to surgery for removing an ovarian cyst, endometorioma?

Unrelated: If you are having continued symptoms after ovarian cyst removal you should see your surgeon. Another cyst may have developed. ...Read more

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Can endometriosis grow after a hysterectomy?

Yes, but less common: A hysterectomy is a surgery involving the removal of the uterus, not necessarily the ovaries.The ovaries produce the hormones that can drive growth/stimulation of endometriosis. So, if ovaries are left in place, endometriosis may be more likely to grow after a hysterectomy. ...Read more

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Largefundal fibroid with ovarian cyst and endometrial thickenng lots of pain bleeding and dysuria nd swelling query laparosopic myomectomy recommeded?

Largefundal fibroid with ovarian cyst and endometrial thickenng lots of pain bleeding and dysuria nd swelling query laparosopic myomectomy recommeded?

Maybe: Since I am unaware of your total history and physical, I am loathed to "recommend" any procedure without it. It sounds like you have multiple problems that need resolution. ...Read more

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Hysterectomy for retroverted uterus, how would this work?

Hysterectomy for retroverted uterus, how would this work?

Probably the same: The uterus can be retroverted, anteverted, or mid-plane and all of these are normal. That does not usually affect the process of performing a hysterectomy. What can complicate the procedure would be significant adhesions or other exophytic disease. ...Read more

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What causes abnormal heavy bleeding for 20days so far after laparoscopic surgery for endometriosis and ovarian cysts and having prostap injection?

What causes abnormal heavy bleeding for 20days so far after laparoscopic surgery for endometriosis and ovarian cysts and having prostap injection?

Bleeding: If you had surgery for endometriosis, that could cause your bleeding postoperatively. If you got any medications to reduce future endometriosis growth, this may cause continued bleeding as well. If you did get lupron, (leuprolide) the bleeding should diminish after 2-3 weeks and you may not have a period for 2 - 3 months. You should follow up with your doctor to discuss these symptoms. ...Read more

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Is excision of endometriosis a laproscopy?

Is excision of endometriosis a laproscopy?

Best way to do it !: Laparoscopic excision of endometriosis is one of the best application for this modality. Magnification and very detailed excision is possible in the hands of an experienced laparoscopic gynecologic surgeon. ...Read more

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9mm polyp in uterine cavity. No symptoms.Removal necessary for future pregnancy?

9mm polyp in uterine cavity. No symptoms.Removal necessary for future pregnancy?

Remove it.: I would recommend removing it before conception, as it could interfere with implantation or cause bleeding during pregnancy. ...Read more

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Can i take hCG injections for weight loss while on lupron (leuprolide) for uterine fibroids?

Wouldn't recommend: It is one of the contraindications to this diet. If you want to undergo the diet you should have the surgery to treat the fibroids. ...Read more

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How accurate is a 2d ultrasound at diagnosing gynecological issues like pcos, fibroids, cysts, endometriosis, etc...?

How accurate is a 2d ultrasound at diagnosing gynecological issues like pcos, fibroids, cysts, endometriosis, etc...?

Depends: Cysts and fibroids are easy to see. Endometriosis is not diagnosed by ultrasound. Pcos is diagnosed by medical history and lab work using an ultrasound as supplemental evidence. ...Read more

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Hysteroscopic resection of fibroids removal for pregnancy. Does it improve fertility after removal of small or large uterine fiborids? in all women.

Hysteroscopic resection of fibroids removal for pregnancy.  Does it improve fertility after removal of small or large uterine fiborids? in all women.

Depends on location: if the fibroids is significantly distorting the endometrial cavity, it will be of benefit (assuming all other factors are normal). Fibroids outside of the endometrial cavity or that are pedunculated, may not reduce your chances of getting pregnant and may not be neccessary to remove them. Speak to your GYN who can discuss this further with you . Best wishes ...Read more

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Possible pelvic mass had total hyst with removal of fallopian tubes, uterus, cervix and ovaries. Should i be worried?

Possible pelvic mass had total hyst with removal of fallopian tubes, uterus, cervix and ovaries. Should i be worried?

I would say: Get a confirmation. Sometimes a bit of ovary can remain, its called ovarian remnant. Its not likely to be cancer, in fact this is very low probability. Good luck. ...Read more

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What are treatment options for uterine fibroids?

What are treatment options for uterine fibroids?

Nutritional Rx: Fibroids are a result of high estrogen levels. High estrogen can be caused by excessive carbohydrate intake (via competetive inhibition of glucoronidase enzyme) therefore a low carb diet is beneficial to reduce estrogen and help shrink fibroids. You may also have low iodine, thyroid problems, low progesterone. All of these things should be evaluated. All phytoestrogens should be avoided. ...Read more

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For endometriosis: will a partial hysterectomy help?

For endometriosis: will a partial hysterectomy help?

It can: In many cases yes. If the primary issue is centrally located pain with the menstrual cycle, a hysterectomy is likely to be very helpful. There are also surgical treatments short of a hysterectomy, including resection of endometriosis and pre sacral neurectomy. You need to see a good pelvic pain doctor to help you work out the best option for you. ...Read more

Dr. Loki Skylizard
633 doctors shared insights

Laparoscopy (Definition)

Laparoscopy involves placement of a small camera-scope into the abdominal cavity, most often at the belly button. This allows us to see and surgically rx many abdominal and pelvic diseases. This is combined with distinction of the abd cavity with co2 gas to create more space to work. This usually requires a general anesthetic, yet most people can go ...Read more


Dr. Barbara Lavi
3 doctors shared insights

Fibroid (Definition)

A leiomyomata(fibroid) is a smooth muscle growth in the uterus that is rubbery, binds the female hormone estrogen and can grow to "epic" proportions causing distortion of the uterus. They cause bleeding, and burning pain( aka "fireball tumor") as ...Read more