What is surgery for a hysterectomy for fibroid removal like?

Depends. It depends on the size of the fibroid and the skill of the surgeon. Some surgeons are very skilled at minimally invasive or robotic surgeries and are comfortable even with very large fibroids. Make sure you are evaluated by someone skilled in advanced laparoscopy/robotics for an opinion if a different doc tells you that you must have an open hysterectomy. That's not always the case!

Related Questions

Need recommendation for a doctor in waco tx skilled at myomectomy for mulitple fibroids (i/s, o/s & in the wall). Successful ufe in 2005. Bulk symptoms persist @ age 48; no hysterectomy wanted.?

Austin is close. We do same day myomectomy here in austn just 100 miles away from waco with an overnight stay in the hospital in the event of delayed bleeding. I don't know anyone in waco at this time that offers what you are looking for. Read more...
Go the ACOG website. Or ask someone who is already living there, depends how big the fibroids are u may need to have your uterus out depending on the size and number , there has to be enough uterus left after the fibroids are removed to put back together, sometimes it can be done thru the da vinci robot. Read more...
Consider UAE/OAE. Having bulk symptoms after UFE suggests that there are some viable fibroids. This may b new fibroids (since UFE 10+ yrs ago) or collateral supply to fibroids from ovarian artery. U could undergo repeat angio looking at Uterine & Ovarian arteries & get embolization of either or both. This will take care of the problem forever since you're close to menopause. Need pelvic MRI with contrast 1st. Read more...

I'm 48yrs, have large fibroids-like I'm 5 mths pregnant. I want abdominal myomectomy (had one 11yrs ago) NOT hysterectomy. Dr will not perform- Y not?

It is not safe or. wise to perform an abdominal myomectomy when you are 5 months pregnant. It could cause serious harm to your pregnancy and result in pregnancy loss. It is better to wait -- fibroids generally dont grow faster during pregnancy. Hang in there! Read more...

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...
Myo vs Hysterectomy. The answer to your question lies in your desire for fertility. Myomectomy is generally performed for women who want to preserve their fertility & the fibroids may be causing miscarriages. It's not the best choice for a patient with pain and heavy bleeding because it may not solve that. If you are done with childbearing hysterecomy is less complicated and will give you better symptom relief. Read more...

I think I'm too young to have a hysterectomy, but I have heavy bleeding and fibroids. What is the difference between a robotic laparoscopic myomectomy and a robotic hysterectomy?

Uterine preservation. A myomectomy removes the fibroids and leaves the uterus; a hysterectomy removes the entire uterus. With a myomectomy, fertility is preserved, menstrual periods persists. The robot facilitates a better repair of the uterus during a myomectomy, but does not provide much benefit during a laparoscopic hysterectomy. Read more...
Future fertility. A myomectomy removes the fibroids but keeps the uterus intact for patients who want children in the future. The risk is that you may grow more fibroids later on and need another surgery. If you want more children this is a better choice. If not then a hysterectomy would be a more definitive surgery. Robotic surgery allows more precision, less blood loss and a faster recovery. Read more...
Depends on goals. If desire more children then myomectomy, just removal of the fibroids. If family complete then vaginal or laparoscopic hysterectomy (only removal of the uterus & fibroids, not ovaries = unchanged hormones) should be preferred as there is less pain and a faster recovery than an abdominal hysterectomy with its large incision. The robot is just a tool to perform laparoscopic surgery. Read more...
Pregnancy? This presentation is common in women with fibroids. Future pregnancy is a consideration which may lead to a recommendation for myomectomy where the fibroids are removed leaving the uterus intact. If pregnancy is not desired, the options include medical therapy, myomectomy or for definitive treatment, hysterectomy where the uterus is removed. Robotc surgery offers shorter recovery, less blood loss. Read more...
Why not UFE? Uterine fibroid embolization (ufe) treats all of the fibroids and the associated symptoms while at the same time allow women to keep their uterus. It is a non-surgical procedure which is safer, less invasive, and has a shorter recovery than surgical options. Myomectomy can end up as hysterectomy and has a much higher recurrence rate than ufe (since fibroids are often left behind after myomectomy). Read more...
Situational. Whether robotic or other approach- myomectomy is inidicated in women who have heavy bleeding due to fibroids and still want ot bear children in the future. If you are done childbearing, then hysterectomy or uterine artery ablation may be more appropriate. In some young women, hysteroscopic resection may be a good option. Read more...
Tissue removed. The myomectomy removes only the fibroids whereas the hysterectomy removes the whole uterus and all the fibroids in it. The main reason for a myomectomy is if you desire to become pregnant. If not, a myomectomy often results in more surgical blood loss, possible continued heavy periods, & recurrence of fibroids. You will not go into menopause as long as the ovaries are not removed. Read more...
Than you are. Hysterectomy is largely unnecessary for fibroids which are benign. Robotic procedures are much more expensive than regular laparo and again unnecessary (dont need added dexterity of robotic arms for an amputation procedure) for hysterectomy . Robot can have advantages (over regular laparo) in myomectomy depending on fibroid #, location. Consider 2nd opinion with interventional radiologist for ufe. Read more...
You have options. If you want to have children, or more children, then you should consider the robotic myomectomy. You should not have a hysterectomy if you think you might want to be pregnant again. Also, if you chose an endometrial ablation for the bleeding, you are closing the door on future pregnancies. If you have an ablation, you still need to use contraception. Read more...
What is removed. A myomectomy is the removal of the myoma (fibroid) from the uterus. The hysterectomy is the removal of the entire uterus. For women who do not plan to have more children it usually makes more sense to remove the uterus, but it is still the patient's choice and it could be appropriate to keep the uterus even with no plans for additional pregnancies. Read more...

I have been diagnosed with very large fibroids and need to schedule hysterectomy surgery. What happens to fibroids if you don't remove them?

Large fibroid. Any tumor can get large enough and bleed due to tissue necrosis as the blood supply is not adequate for its growth rate. Large benign tumors, in general, can also degenerate into cancerous lesions. It is best to follow the recommendation of your gynecologist and have it removed, as has been recommended. Read more...

I have a fibroid tumor and need a hysterectomy because I am loosing a lot of blood. What would happen if I don't have surgery?

Likely more bleeding. With fibroids, the bleeding is not likely to get better without treatment. Hysterectomy is one option. Sometimes other options are also possible, including uterine artery embolization, or endometrial ablation, depending on the details of your situation. Read more...
Surgery not only opt. Surgery is not your only option. Uterine artery embolization is a minimally invasive technique that can treat heavy bleeding with ~ 90% success. Regardless of what you chose if you have heavy bleeding causing anemia you should do something. Read more...