Conservative surgery is important for younger women to enhance and preserve fertility. Trans-cervical resection of submucous fibroids is a hysteroscopic procedure to remove fibroids which project into the uterine cavity. Myomectomy is the main procedure whereby fibroids are removed. This can be done by laparoscopy as long as the fibroids are not too big. In other cases it may be necessary to perform abdominal myomectomy through transverse "bikini-line" incision. Hysterectomy (removal of the uterus) is only offered as a last resort unless the woman has completed her family and the fibroids are very big.
Treatments for Fibroids
Uterine artery embolization
This is another option to treat uterine fibroids treatment and involves an Interventional Radiologist passing a very thin catheter into the groin blood vessels and guiding it towards one of the arteries leading to the fibroid. The small artery (which provides the fibroid with blood) is then blocked off which leads to the shrinkage of the targeted fibroid.