Doctor insights on:
Surgery For Fibroid Tumors
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
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
A recent scan shows I have ovarian cyst and fibroid tumors. Can one surgical procedure take care of the cyst and fibroid tumors?
Yes: A laparoscopic procedure could likely take care of both procedures, depending on size and location of fibroid, in addition to skill of surgeon. Otherwise, they could also make a cut in the abdomen, like for a cesarean, and remove both as well that way. Again, all of this depends on the size and location of the cyst and fibroid. If the fibroid is in uterine lining, then a hysteroscopy better. ...Read more
Gamma knife: One of the not so new options is the use of gamma knife. Multiple sources of radiation are focused on the lesion, thus minimizing the damage to surrounding normal tissues. ...Read more
Depends: Assuming it is an operative mass: this really depends on what the tumor looks like on imaging. Most of these masses can be done via transphenoidal approach with microscope or endoscope. Rarely it gets so large and if the patients medical condition is ok can be done via combined transphenoidal and craniotomy. Patients recover from transphenoidal surgery more quickly than craniotomy. ...Read moreSee 1 more doctor answer
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
Yes: Most breast conserving surgery can be done as an outpatient. Most mastectomy patients with no reconstruction or an implant/expander reconstruction, stay overnight and can go home the next day. With a tissue reconstruction, there is usually a 2-3 day hospital stay. ...Read moreSee 2 more doctor answers
See below: Treatment of ovarian cysts depend on size, symptoms and appearance on ultraound. Options include watchful waiting, birth control pills or surgery. Your doctor may recommend surgery if the cyst does not appear as a functional cyst (in this case a complex cyst) or if it has been growign or persisting over a few menstrual cycles or cause significant pain or other symptoms. ...Read more
Is radiation be used to treat uterine cancer? After a hysterectomy, will i still need radiation treatments for uterine cancer?
Possible: You should discuss with your oncologist and gynecologist but what steps are required after hysterectomy depend on how advanced the cancer is when it is discovered. If it is confined to the uterus often a hysterectomy is all that is needed. If it is spread outside the uterus other treatments may be needed. ...Read more
Many but rare: Surgery for an ovarian cyst today is very safe and complications are rare. As with any operation risks related to ansthesia, blood loss, damage to surrounding structures and infection do happen -but are uncommon. Some loss of ovarian tissue is common but usually not consequential. ...Read more
27 yrs old unmarried.Recently, laparoscopic surgery done (removing large 8cm uterus fibroid).After surgery, how many days bleeding goes on?
Bleeding(answer 1): First of all and probably most important is where exactly is the bleeding at? Next is for how long has the bleeding been taking place? Then, how much bleeding is there? If it is at the skin incisions, for just a day, and just spots of blood on your dressing, then I wouldn't worry too much. Just keep your routine follow up appointment. If it is from your vagina or skin incision, for just a day or ...Read more
I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer. What;s the recovery time?
Had midfoot fusion surgery in june w/ complications. Should this be considered in my options of lupron (leuprolide) vs surgery for possible endometriosis.?
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