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Doctor insights on: Think Hysterectomy Bleeding Fibroids Robotic

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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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Dr. Darrin Cunningham
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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What's a supracervical hysterectomy?

What's a supracervical hysterectomy?

Leaving in cervix: Some women choose to keep their cervix. The french have done this for years because they think it helps with sex. I have asked patients with cervix and without and both groups report excellent sex life after hysterectomy. Supracervical hysterectomies can be done open, laparoscopically and robotically. ...Read more

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What is laparoscopically assisted vaginal hysterectomy (lavh)?

What is laparoscopically assisted vaginal hysterectomy (lavh)?

Common: For an lavh, the laparoscope is used to allow the surgeon to free up the uterus from inside before completing the hysterectomy vaginally. Many surgeons are now using the da vinci robot to complete the surgery completely laparoscopically. ...Read more

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What happens during a laparoscopically assisted vaginal hysterectomy lavh?

Safe and efficient s: The laparoscope allows excellent visibility inside the abdomen for releasing the uterus (and ovaries as appropriate) before proceeding with the vaginal portion of the hysterectomy. Many studies show fewer complications with lavh compared to an abdominal hysterectomy or a vaginal hysterectomy. There is the additional benefit of inspecting the abdominal cavity before and after the hysterectomy. ...Read more

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Had endometrial ablation 3 yrs ago, have severe pelvic pain; unhealthy uterus due to hemorrhage, want to avoid laparoscopic supravervical hysterectomy?

Had endometrial ablation 3 yrs ago, have severe pelvic pain; unhealthy uterus due to hemorrhage, want to avoid laparoscopic supravervical hysterectomy?

medical treatments: There are non surgical treatments such mirena, (levonorgestrel) hormones and Lupron that can be used to avoid hysterectomy, even if they are not always successful. If your gyn is not interested in discussing these, consider seeking out a second opinion. ...Read more

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PCOS, Endometriosis, Heavy Cycles, 33yo, tubal ligation 3 yrs ago. Would an endometrial ablation lessen my symptoms/cancer risks?

PCOS, Endometriosis, Heavy Cycles, 33yo, tubal ligation 3 yrs ago. Would an endometrial ablation lessen my symptoms/cancer risks?

Maybe not: Endometrial cancer can be obscured by endometrial ablations if it is not ruled out prior to the procedure by biopsy. Many women continue to have bleeding post endometrial ablation procedures, and the most likely conclusive treatment is hysterectomy if you no longer desire children. ...Read more

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What happens during robot-assisted laparoscopic hysterectomy?

What happens during robot-assisted laparoscopic hysterectomy?

Precision: Robot assisted surgery is performed in order to accomplish hysterectomy with minimally invasive method possible when abdominal hysterectomy must be done otherwise. Several small incisins are made in the abdomen and robotic instruments are placed through each incision and the surgeon actually performs the procedure remotely sitting at a surgeon's console controlling all robotic instruments. ...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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27 yrs old unmarried.Recently, laparoscopic surgery done (removing large 8cm uterus fibroid).After surgery, how many days bleeding goes on?

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

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Hi, I had partial hysterectomy due to placenta accreta & previa also adhesions removed operation done abdominal vertical & I'm am bleeding irregularly?

Hi, I had partial hysterectomy due to placenta accreta & previa also adhesions removed operation done abdominal vertical & I'm am bleeding irregularly?

Talk to MD: Frequently, granulation tissue at the vaginal cuff will cause annoying vaginal bleeding. Easily corrected in the office. I know some people refer to a 'partial' hysterectomy incorrectly but if by partial you mean a supracervical or subtotal hyst, then your cervix is still present and that explains the bleeding easier. ...Read more

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Is a lsh( laparoscopic supracervical hysterectomy) still a major surgery?

Is a lsh( laparoscopic supracervical hysterectomy) still a major surgery?

Yes: Any hysterectomy (removal of the uterus) is considered a major surgery. With that said, there are several different modalities by which a uterus is removed. A lash is a type of laparoscopic hysterectomy in which the uterine body is removed but the cervix is left in the body. It is a simpler surgery with less time spent in the or. Recovery time is typically shorter as well. ...Read more

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What are risks of a laparoscopically assisted vaginal hysterectomy?

Same as any surgery: The risks include bleeding, infection, damage to bowel bladder and adjacent organs, pain , postoperative bleeding, failure to cure pain, scar formation, need for additional surgery. In the case of the lavh - there would be the risk of needing open abdominal surgery as well. ...Read more

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Tell me about myomectomy or uterine artery embolization procedure?

Tell me about myomectomy or uterine artery embolization procedure?

Depends: It depends on the location, number, and size of the fibroids, and whether or not you want to become pregnant. ...Read more

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I have an 8 cm intramural fibroid, a 2.5 cm fibroid, and spots that may become fibroids, w/pain, long periods, & pressure. Hysterectomy or myomectomy?

I have an 8 cm intramural fibroid, a 2.5 cm fibroid, and spots that may become fibroids, w/pain, long periods, & pressure. Hysterectomy or myomectomy?

Depends: If you've completed childbearing and/or this is not relevant and you don't want to deal with the symptoms anymore; hysterectomy for definitive treatment is reasonable. Of course, prior to finalizing any, please get with your doctor about risks, benefits and alternatives. If you've not completed childbearing and/or want to retain the uterus for other reasons; the myomectomy would be the way to go ...Read more

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Has anybody done a laparoscopic supracervical hysterectomy?

Has anybody done a laparoscopic supracervical hysterectomy?

Yes: The most common reason for leaving the cervix is patient request. Current medical evidence doesn't suggest any advantages to leaving the cervix, though sexual function or bladder function were concerns in the past. If the cervix is left, the uterus must be removed by morcellation which can be a tedious and time-consuming endeavor, especially with a large uterus. ...Read more

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Any risks with davinci supracercival hysterectomy?

Any risks with davinci supracercival hysterectomy?

As with any surgery.: Supracervical hysterectomy means removal of the uterus above the cervix. Da vinci is a tool that allows difficult surgeries to be done through small incisions. Complications of any surgery involve, bleeding, infection, organ injury, and anesthetic risks. None of these are common in the hands of an experienced surgeon and team. ...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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Dr. Brad Goldenberg
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


Dr. John Lipman
661 doctors shared insights

Uterine Fibroids (Definition)

Abnormal growths that develop in or on a woman’s uterus. It is unclear why fibroids develop, but hormones and family history may influence their formation. Approximately 70% to 80% of women aged 50 ...Read more