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.
Brian E. Kouri, MD Radiology Wake Forest Baptist Health
Hi, I'm Dr. Brian Kouri, I'm an interventional radiologist at Wake Forest Baptist Health. I came to Wake Forest Baptist Health because I really enjoy the environment of the hospital and the attitude that many of the employees have towards helping others. I also really enjoy living in WinstonSalem. My clinical specialties are all areas of Interventional Radiology with particular interest in uterine fibroid embolization as well as minimally invasive oncology treatments. I decided to become an interventional radiologist because it's one of the few areas of medicine where we get to treat all patients from all.
Different age groups with different medical disorders we treat children all the way up to senior citizens. The disorders we treat range from benign conditions such as vascular access problems all the way up to very serious disorders including cancer and other lifethreatening illnesses. My patient care philosophy is something I learned from my father who's also a physician and this is that When that patient walks in the door, that I treat them just like I would treat a blood family member. I enjoy working with patients because it provides me with instant feedback about the benefits.
That my treatment are providing. Recently, my wife underwent a tonsillectomy at Wake Forest Baptist Health and it was a very interesting experience for me because it offered me the opportunity to be on the other side. I had to wait in the surgical waiting room. I had to wait to hear what was happening with my wife during her procedure. And I really understood the anxiety that patients can feel when one of their loved ones is being cared for. It's really offered me a good reminder of what I do every day and what it means to.
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.
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.
How to Read a MRI of Lumbar Degenerative Spondylolisthesis and Spinal Stenosis
Here's a side view of an MRI of a patient with substantial degenerative changes and a degenerative Spondylolisthesis Stenosis or slip at four five and the central canal is also blocked and that is called spinal stenosis again reading this MRI we see the spinal cord here which ends there and the nerve roots which come out of the spinal cord again the white is cerebral spinal fluid which is water we see again the vertebra we see again the discs these discs here are quite degenerative and if we look carefully we're going to see that this L four vertebra has slid.
Forward on L five that slip is called a degenerative Spondylolisthesis and we can look at the spinal canal and see the spinal canal in this area his clogged up essentially and quite narrowed and that is deleterious to the nerves we can look at this with a topdown view and again the yellow line here is where we're making our cut here's the spinal canal we can see all of the nerve roots here we look at the facets before these are degenerative facets and if we march up the spine and watch the size of the canal.
Ask the Specialist Interventional Radiology Mahmood Razavi, MD
The field of image guided interventional radiology is booming. We are in its infancy. It's mushrooming in terms of the various treatments that are coming down the pike. Targeted therapies have now become recognized in medicine. It used to be that we were in the bottom of the hospital, nobody knew about us we only treated the patients who had no other options, and then they would come to us. Now a lot of the therapies that we offer are becoming main stream. If you, for example take cancer, it used to be that all the patients who were inoperable had no.
Chemotherapy or had exhausted their chemotherapies or weren't a candidate for radiation would come to us with various things. Over time, proof that some of these therapies are not only are effective but also caused less complications and are less expensive. Further studies showed that they actually can be the first line therapy, or in conjunction with other therapies to help these patients. So targeted therapies using image guidance is in its infancy, they are coming and are going to become big and are going to be the main stay of treatment in many types of.
PMS and Estrogen Dominance
We are starting to get more and more women that are bringing their daughters now. It's so good to seeit's preventive medicine. The first thing the mother says is, They're terrible around their PMS symptoms, and their breasts are hurting them, and they're very irritable and it's just very difficult to be around my young girl at this time. So they bring them in and we do a salivary hormone test, check their estrogen, progesterone, testosterone, and DHEA, because we also want to rule out stuff like PCOS and such as this.
But we, uh this is an indication that most of the time we see a low progesterone and what we do is we either give them botanicals or we give them a little bit of progesterone cream and it works wonders. I much prefer to use bioidentical estrogen and progesterone when I have to and I don't use the synthetic. So all that said, the estrogen dominance is big in the United States. The girls are coming inmothers bringing the girls in so we can check that at an earlier age, it's great to see that, it's a preventative, less girls on.
Revolutionary scalpelfree surgery
For Tony Lightfoot, just trying to enjoy a muffin and coffee is a major challenge. He's had essential tremor disorder for more than ten years. Quality of life has really taken a nosedive. And eating, my wife often has to feed me with a spoon, especially the last bit on the plate. But that could all change today, as Tony is the fifth patient at Sunnybrook Health Sciences Centre to undergo a groundbreaking new procedure. Doctors will be operating deep inside his brain without making any incisions. Dr. Michael Schwartz is leading the study on this new scalpelfree.
Surgery for patient with essential tremor, which is the most common movement disorder. The procedure that we do is MRguided focused ultrasound, and we direct the focus to the target that we would like to ablate. That means making a small hole in the brain to damage the brain in fact in one area to interupt a circuit that's bad for the patient and in this case is causing tremor. Before the treatment begins, doctors do a final tremor assessment, where Tony can't even hold a glass of water. He is also asked to copy the swirl on the left. This image shows his attempts on the right.
After his head is shaved, Tony is fitted with a frame, which is then placed inside a special helmetlike device. It was manufactured by Insightec, based on research of scientists at Sunnybrook and in Boston, and helps guide the surgical team with the help of MRI images. Tony stays awake so surgeons can test his progress between each ablation, or zap to the brain. You can visibly see how over the course of the procedure, his hand becomes progressively more stable. Doctors are only able to treat one side and focus ont he dominant hand to help improve.
Each patient's quality of life. So far, Dr. Schwartz says, every patient has shown improvement. We are very impressed with the efficacy of the procedure. So far it's been perfectly safe and we look forward to using it for other applications as well. That may include cancers and tumours of the breast, bone, head, neck and rectum, as well as facial pain. In addition to no incisions and no general anesthetic, patients go home within one day, and return to activities of daily living almost immediately. Frank Winnacott had the procedure in the fall and says, it's.
Made a world of difference. Being able to feel comfortable in company. I play bridge. I like to hold my cards I like to deal them properly. It's nice. After several hours, Tony is brought out for his postprocedure assessment, where the effect is crystal clear. When is the last time you did that More than ten years ago. I'm happy, he's happy. It was a good thing today. Studies on the MRguided focused ultrasound will be ongoing, but so far, this trial suggests that surgery without scalpels is a cut above. With Sunnyview, I'm Monica Matys.
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