Myoma Uterine Fibroids What is Myoma, Causes, Symptoms and Treatment for Myoma
A fibroid is a benign tumor that mainly consists have muscular tissue and usually grows inside the uterus. Fibroids are also called myomas. Its size ranges widely, from a small tumor the size of a pea to a large tumor almost the size of the uterus. Myomas are classified into three types, depending on the location where they are found. The intramural myoma, a fibroid that grows in the muscular wall of the uterus. This subserosal myoma, a fibroid located just beneath the outside mucosal covering of the uterus. Here the fibroid projects to the.
Outside and occasionally remains connected with the uterus only through a small stalk. The submucosal myoma, a tumor that grows beneath the surface of the uterus lining. Therefore, this type of fibroids can grow into the uterine cavity. The actual causes have development of a fibroid are still unclear. However, it has been documented that fibroids are associated with high levels of estrogen, the female sex hormone. Fibroids can only developed during reproductive years of women. Following menopause, the production of estrogen decreases which will usually cause fibroids to shrink or disappear.
Myomas are more common in nonpregnant and infertile women. In general, fibroids are asymptomatic or associated with just a few complaints if any complaints. If any complaints occur, then the location, size and type of the fibroid are the major factors. Fibroids can affect nearby structures. They can cause compression of the bladder, which may lead to urinary complaints, or may obstruct the intestine, which may result in constipation. Other complaints can be backaches, abdominal problems, menstrual flow disturbances. Fibroids can impede normal childbirth, which may require caesarean delivery. Fibroids relatively more often lead to miscarriages.
Whenever fibroids cause symptoms, they need to be removed or shrinked. Medications sometimes cause fibroid to shrink by blocking the production and secretion of estrogen. In other cases, surgery may be required to remove the fibroid. The type of surgery depends on the location of the fibroid. Sometimes it's possible to remove the fibroid with the help of the tube entered through the vagina and the procedure is called hysteroscopic myomectomy. In other cases, surgery through the abdominal wall may be necessary. In the case of a large fibroid, hysterectomy may be the only solution.
How to cure uterine fibroids without surgery
Hello, I'm doctor Gillian Johnson As a former fibroids sufferer what I want to tell you is You don't have to suffer. Fibroids and fibroids symptoms can be cured WITHOUT surgery or a hysterectomy. I had two uterine fibroids, and you may know how painful is. After several unsuccessful medications, my gynecologist wanted me to undergo surgery. But another doctor suggested me to follow a new holisticdrugfree method, accessible on the web. In just 5 weeks fibroids shrunk drastically. No more pain, no more irregular periods, no more bladder pressure. The following ultrasounds shown that both of these fibroid were completely gone.
LAAM A Safer Minimally Invasive Myomectomy for Fertility at CIGC
When you have patients that come in who are frustrated and you see their exposure to robotics or open surgery, you're thinking to yourself, what can I do to make it better for that patient Well, the LAAM procedure, which is laparoscopicassisted abdominal myomectomy, is a sort of a hybrid between laparoscopy and a very small cut to take out the fibroids. We developed the LAAM procedure because the laparoscopic approach has a lot of limitations. It is unable to remove smaller fibroids and fibroids inside the uterine cavity, and there's also.
Limitation in the ability to reconstruct the uterus properly. Most fibroid removal from the uterus is done by an OBGYN physician as an open surgical procedure. Now, this requires a hospital stay of two to three days with a six to eight week recovery period. Minimally invasive approaches such as robotic or laparoscopic myomectomies can be used to remove fibroids from the uterus, but are usually limited to smaller fibroids on the outside of the uterus. So myomectomy generally means, take out fibroids. In order to do a myomectomy properly, you have to be able to feel where the fibroids are.
Robotic approach can't do that. The doctor is sitting at a console 15 feet away and doesn't even have the ability to feel the uterus or the fibroids. A laparoscopic approach for fibroid removal is sort of the same. The doctor can feel the fibers with metal instrumentation, but with LAAM, we're able to actually put a finger into the uterus, identify where those fibroids are, with a sense of touch or feel, can remove all the fibers in the uterus that are present. The LAAM approach is a small 14 inch.
Incision at the belly button. The other incision is about three centimeters, only about that big, way down on the bikini line. So with those two incisions, you are actually able to take out the fibroids and feel where they are. You're not going to miss smaller fibroids. You're not going to miss fibroids deep in the muscle. That's vital for patients, especially those that are thinking about getting pregnant or have bleeding from fibroids. The reproductive endocrinologist, for example, prefers our approach to robotic or laparoscopic myomectomy, because with those other procedures, smaller fibroids.
Maybe left behind, which will be detrimental to fertility. While it's a very innovative technique, the part that is so incredible about LAAM is that it gives women and an opportunity to conceive by sparing the uterus. Many of these women may have still had that opportunity, but it would have had to have been through an open procedure which would have been far more painful, more time out of work, and LAM is giving them this opportunity through a very small incision and less pain. Power morcellation is never used during a LAAM procedure.
LAAM procedures performed by CIGC surgeons do not use power morcellation for removal of fibroids from the uterus. Power morcellation is not beneficial for the LAAM procedure. It takes longer time to perform, it has more risks, and it can potentially spread cancer if the cancer is already present in the fibroid. Get a second opinion. Talk to other doctors. If your doctor is not doing a LAAM procedure for fibroids, find a doctor that is. CIGC surgeons are the only ones in the metropolitan area doing it. So LAAM is extremely thorough, very safe,.
Dr. Paul MacKoul MD Makes Minimally Invasive Fibroid Removal Possible Helenes Story
I have been suffering from fibroids and endometriosis for over 20 years, and I had very intense pain, back problems, lower stomach problems, headaches from being so anemic. And it controlled my life. I think my first procedure was probably '95. And so since '95, I've been going through different procedures with different doctors, and nothing worked. I would do the surgery, and I would be fine for a month or two. And then I would say the longest I've ever been OK was for three months, and then bam here it comes again.
One of the doctors that I went into, he told me that the best advice that he could give me was to just go ahead and have a hysterectomy. And then he started laughing and said that that was his best advice for the day. And then I told him, thanks, but no thanks. And I walked out. I had a cyst rupture on my right ovary. And I ended up in the emergency room where I had to do surgeries to remove my appendix, because it kind of fused my appendix and my fallopian tube together.
After I got out of that surgery, my GYN at the time, she told me, I want you to go and see Dr. MacKoul. She said, this is the only doctor the only doctor that I want you to see. I went in to see Dr. MacKoul. He was pleasant, and he took the time out to explain to me what was going on and do all his little drawings. Dr. MacKoul recommended a LAAM myomectomy, because I wanted to retain my uterus. He told me if I had any questions just to call him,.
And he would explain anything that I didn't quite understand. Then he actually came and sat with me before I actually was taken in for the surgery. And he went over again what we're going to be doing, and then he told my family to just trust him. I was in good hands. I did not come across a specialist until I actually met Dr. MacKoul. Not only did he tell me what my problem was, not only did he tell me what mistakes had been done with my surgeries prior.
That caused my endometriosis to get worse but he fixed the problem. I haven't had any pain no back problems, no stomach problems, no headaches. I finally decided it was time for me to do what I wanted to do. Three months later, my dad had asked me, would I go with him to Africa. And I told him, sure, and so we went to Africa for a month. This was something that I would not have done prior to having the surgery. The energy that I didn't feel I had before to be able to do.
My master's, now I'm working on my master's. I have the energy where I'm doing my master's, working, and also helping my niece with her homework, and now having to travel with her to go to her different events. I wish I had met Dr. MacKoul before. I wish I had heard about him before I went through all those other procedures. But looking back, with everything that I went through, I'm always telling other people about Dr. MacKoul. He is a true specialist. He is the only specialist I would recommend.
Will I Ever Get Pregnant With Endometriosis
I've heard that pregnancy gives you nine months of relief from endometriosis. But will I ever get pregnant with endometriosis Yes, you can, though it might be hard. Endometriosis can block your fallopian tubes, preventing eggs from getting out. My doctor says you can have surgery to deal with the endometriosis. Then I might get pregnant. If you have surgery, you should wait a year before you try to conceive. With laproscopy, you might not need to weight that long and should actually try to get pregnant in a year. Do I have to have IVF to get pregnant Or could I even have IVF done, and have it work.
If the endometriosis is mild, you could get pregnant mildly. Birth control pills might help. Birth control and pregnancy are opposites! The birth control pills could reduce the lining build up for a cycle. Then you stop the pills and get pregnant on the next cycle, because the endometrium isn't as bad as it was before. And if surgery doesn't work Then IVF is an option, especially for those with mild to moderate endometriosis. I want a baby, but I don't want the endometriosis to get worse. Fertility drugs won't make the condition worse. After birth is a different matter.
Generations Fertility Care Dr. Dan Lebovic on robotic myomectomy
Gtgt Many patients of ours, one of the reasons why perhaps they could not conceive is because they have a fibroid in their uterus. It's sort of a growth of the muscle portion of the uterus, that is sort of ballshaped. And if it interferes with the lining of the uterus, that is thought to not be good for pregnancies. The pregnancy rate is lower. It's not impossible to conceive, but the pregnancy rate is certainly decreased. It has also been shown that removing these fibroids can help, especially the ones that are within the canal.
When you have a large fibroid on the outside of the uterus, conventionally used to operate these by making a large incision on the abdomen, which requires hospitalization afterward for about three days, and a longer postoperative recovery in terms of pain relief. A newer procedure is to use a robot that controls laparoscopic instruments at the bed side, so that the surgeon is actually away from the bed side, but controlling the ends of the instrument, as if their hands were inside of the abdomen of the woman. Therefore, making it a lot easier to control placing sutures and tying them very carefully.
So we have been using that here, the robot myomectomy technology for patients that get referred with these larger type fibroids, you know, between 3 cm and up to 10 cm can actually be accomplished just with small incisions, socalled keyhole surgery. It's sameday surgery. Sometimes they stay just overnight, but they leave the next morning. But they're able to recover a lot quicker. Aesthetically it looks quite nice in terms of larger incision. And most likely less pain from that as well. The magic of the robot is that really it is almost as if our hand is.
In that patient's abdomen, in the pelvis, working on the pathology of note, in this case fibroids. It was developed so that the ends of the instruments actually articulate much like the hand, and so to place sutures, if you didn't know any better, you would think it was someone's hand in there placing the sutures, at almost any angle. In fact, it almost makes it easier because the tremor is removed by the instrument. It's just built into the technology. And it's a lot easier if you're right handed t even place sutures.
Patient Story Robotic Uterine Fibroid Embolization with Magellan
Ivana I love to walk. It really feels great. I'm a teacher. Sometimes I work with the preschoolers or first grade, and you want to kind of be on their level, when you're sitting down. So I wasn't able to sit down a lot of times. And I noticed a lot of bloating. My body just wasn't functioning the way that it normally was. Last year the doctor noticed that I had fibroids that were the size of lemons. I was in pain a lot. I couldn't wear anything that buttoned. It literally looked like I was nine months pregnant. I was embarrassed. I sought.
Medical advice from my OBGYN about other options other than a hysterectomy. And he referred me to Dr. Bagla. Dr. Bagla Ivana, when she sought us out to have uterine fibroid embolization and it was performed robotically, she was ecstatic and knew that she was undergoing a procedure that would offer her a chance to really change her life. With traditional surgery, such as hysterectomy or myomectomy, there is an open incision, and most women are not ecstatic about having a large incision in the lower part of their abdomen, the scar, the potential.
For bleeding, or infections. With fibroid embolization as a whole, that procedure can be performed minimally invasively on an outpatient basis sometimes, and just through a simple needle hole. What's unique about the Magellan System is its ability to get to both right and left uterine artery, which is critical for the procedure. It offers support for our microcatheter to then deliver the embolic material right into the correct place within the uterus. Ivana The puncture that he made with the Magellan Robotics System, literally it was a little bandaid. And I remember, I had trouble finding where the incision was. Now I'm breathing.
What Are Advantages of Robotic Surgery for Fibroid Treatment
Text on screen Fertility Authority. Your Most Trusted Source Ask the Experts What are the advantages of robotic surgery for fibroid treatment Dr. Jason Bromer, Reproductive Science Center of New Jersey Robotic surgery has been available as a technology for greater than 20 years now. But its applications to gynecology and reproductive medicine have really just been realized in the last four or five years. In the setting of myomectomy, which is removing fibroids from the uterus, it's been traditionally believed that for patients who want to maintain their fertility, fibroids would need to be removed through an open incision,.
Which would require a few nights' stay in the hospital after the procedure, and usually around the order of four to six weeks off from work before they can get back to their normal lives, because it's a very invasive, difficult procedure. Myomectomies have been able to be done laparoscopically in the past, but because of the limitations of traditional laparoscopic instruments, we don't have the facility to reconstruct the uterus in a way that would make it safe for patients to be pregnant afterwards. So, patients who wanted to spare their fertility really were told they needed this open, invasive procedure.
Robotic surgery, because of the additional control we get in operating the instruments, allows us to close the uterus and reconstruct the uterus in the same fashion that we could do with an open procedure. Now, a patient who would like to have a myomectomy and maintain their fertility can have the minimally invasive surgery with, essentially, going home the same day from the hospital. Our patients don't usually even stay overnight in the hospital. And we tell them that they will be getting back to their normal activities, frequently, within a week.
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