Myomectomy (removal of fibroids)
A very high percentage of women have uterine fibroids which are often found
during an ultrasound scan for other reasons. Unless they are large or causing symptoms such as abnormal periods, they may not require attention.

If fibroids are causing heavy periods (due to their distorting the uterine cavity)
but no other problems they may be very easily dealt with by fitting a Mirena system. Otherwise myomectomy may be the appropriate treatment.

Small fibroids in the uterine cavity can be removed at hysteroscopy but larger
fibroids may need open surgery, myomectomy, especially if continuing fertility is needed. In older women or those not wishing to conceive, hysterectomy may
be preferable.

Hysteroscopic myomectomy is a Day Case (admission to and discharge from hospital on the same day) procedure but open myomectomy involves four or five nights in hospital, no driving for two to three weeks (or longer depending on car insurance stipulations) and return to work usually in six weeks.

Mr Thonet will advise whether the recently developed procedure of uterine artery embolisation (blocking the blood supply to fibroids and thereby causing shrinkage)
is an option for you, and this is increasingly the case.

Mr Thonet can discuss the exact nature of your treatment, including procedure
details, recovery times and any possible side-effects at a consultation. This will reflect your exact circumstances and needs. The information included here is provided for general guidance only.


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