- localized, benign, smooth muscle tumors of the uterus
- hormonally responsive.
- Clinically found in 25–33% of reproductive-age women
- They are almost always multiple.
- The most common indication for hysterectomy. (MCQ)
- Leiomyomas are most commonly of the subserous type. (MCQ)
- Rarely do leiomyomas (fibroids) progress to malignancy (leiomyosarcoma).
- Submucosal and intramural types of fibroids usually present as menorrhagia
- Subserosal fibroids, which become pedunculated, may present with acute pain and torsion. (MCQ)
- Hyaline degeneration.
- Red degeneration (MCQ)
- painful interstitial hemorrhage
- often with pregnancy
- Cystic degeneration—may rupture into adjacent cavities
- Uterine locations of leiomyomas
- Submucous: Just below endometrium; tend to bleed.
- Intramural: Within the uterine wall.
- Subserous: Just below the serosa/peritoneum.
- Cervical: In the cervix.
- The fibroid obtains blood supply from another organ (ie, omentum).
- Interligamentous: The fibroid grows laterally into the broad ligament
- Asymptomatic in > 50% of cases. (MCQ)
- Bleeding +/− anemia:
- One-third of cases present with bleeding.
- Bleeding is usually menorrhagia, caused by: (MCQ)
- Abnormal blood supply.
- Pressure ulceration.
- Abnormal endometrial covering.
- Pain: Secondary dysmenorrhea. (MCQ)
- Pelvic pressure: May be due to enlarging fibroids.
- Physical exam (bimanual pelvic and abdominal exams)
- Fibroids are usually midline, enlarged, irregularly shaped, and mobile. (MCQ)
- may also be visualized by x-ray, MRI, CT, HSG, hysteroscopy.
- Pap, ECC, endometrial biopsy, hysteroscopy, and D&C can be done to rule out malignancy. (MCQ)
- No treatment is indicated for asymptomatic women, as this hormonally sensitive tumor will likely shrink with menopause
- Pregnancy is usually uncomplicated. (MCQ)
- Some fibroids may grow in size during pregnancy.
- Bed rest and narcotics are indicated for pain with red degeneration.
- Treatment is usually initiated when: (MCQ)
- Tumor is > 14 weeks’ gestation size. (MCQ)
- Hematocrit falls.
- Tumor compresses adjacent structures.
- Symptoms limit lifestyle.
- The treatment for asymptomatic fibroids at 11 weeks’ size is observation. (MCQ) (MCQ)
- GnRH agonists can be given for up to 6 months to shrink tumors (ie, before surgery) and control bleeding: (MCQ)
- Surgical removal of the fibroid in infertile patients with no other reason for infertility. (MCQ)
- A myomectomy is for women who desire to retain their uterus for childbearing.
- About one-third of fibroids recur following myomectomy
- Indicated for symptomatic women who have completed childbearing.
- Definitive treatment for fibroids = hysterectomy
- Pregnancy with fibroids carries ↑ relative risk: (MCQ)
- First-trimester bleeding
- Dysfunctional labor
Myomectomy Vaginal Fibroid Removal Surgery PreOp® Patient Education HD
Patient Education Company
Your gynecologist has recommended that you undergo surgery to remove vaginal fibroids. But what does that actually mean?
Laparoscopic Uterine Fibroid Surgery
Myoma or Fibroid Uterus are benign tumor that arise within the muscle of the uterus forming round masses. Some women have single fibroids as large as a football, others have multiple ( up to 20 or more ) which vary in size from a peanut to golf balls and larger. This video demonstrate laparoscopic myomectomy performed at World Laparoscopy Hospital
Understanding Uterine Fibroids
Fibroids are non-cancerous growths that develop in the uterus, effecting as many as 30 percent of women. Learn about the latest fibroid education and treatment options from the UCSF Comprehensive Fibroid Center and the UCSF National Center of Excellence [4/2007] [Health and Medicine]
Uterine Fibroids : Common Symptoms of Fibriods in Uterus
Uterine fibroid uterine fibroids symptoms of uterine fibroids uterine fibroid embolization.
An educational video that answers patient questions about the causes, symptoms, diagnosis and management of uterine fibroids. Developed by the American Society for Reproductive Medicine Patient Education Committee in cooperation with the ASRM Fibroid Special Interest Group.
Total Abdominal Hysterectomy: Fibroid Uterus
This video from “Hysterectomy for Benign Disease” – by Mark D. Walters, MD and Matthew D. Barber, MD, MHS – demonstrates how to successfully perform Total Abdominal Hysterectomy for the treatment of Fibroid Uterus
Fibroid Uterus Symptoms and Surgery?!No Way! My Experience With Fibroid Uterus Symptoms
To Women Who Want To Know Fibroid Uterus Symptoms and Heal Them Naturally But Don’t Know How To Get Started. What Your Doctor Will Almost Never Tell You About Fibroid Uterus Symptoms:
Uterine Fibroids Removal
Uterine Fibroids Removal
Uterine Fibroids Removal
How To Cure Uterine Fibroids With Surgery Treatment (Uterine Fibroids Embolization)
Uterine fibroids, also known as fibroid tumors, myomas, fibromas, or leimyomas, are growths that usually occur in the uterus, which are usually non-cancerous or benign. About 20-40 percent of women over the age of 35 are affected by fibroids. Sometimes, they can also form in other organs as well, especially those that have smooth muscle cells.
uterine fibroids surgery.
longer video of fibroid surgery with foley’s catheter for tourniquet