FIBROIDS SYMPTOMS, CAUSES AND TREATMENT
What is Fibroid?
Fibroids, also called myomas or leiomyomas, are muscle tumors that occur in the uterus (womb). Transformation into cancer is rarely observed in these tumors. Fibroids can occur in many shapes, sizes, and locations. The inside of the uterus, the uterine wall or its surface are among the areas where fibroids can develop. Their size can be too small to be seen with the naked eye, or can reach sizes that are large enough to affect the shape of the uterus. In addition to these features, some fibroids may also have a stem or root-like structure.
Who are Fibroids seen in?
Fibroids occur in one out of four women. Fibroids that appear at the age of 30-40 years shrink after menopause. About 40 percent of women over the age of 40 have fibroids, and about 75 percent of women with fibroids are unaware they have fibroids. Although the age group in which uterine fibroids usually occur is women in the reproductive age range of 30-40 years, it should be kept in mind that they can occur at any age. Also, fibroids greatly reduce your chances of getting pregnant. Therefore, if you have fibroids and want to get pregnant, you should first get rid of these fibroids with laparoscopic or hysteroscopic myomectomy.
What Are the Symptoms of Fibroids?
Many fibroids do not cause any symptoms. Complaints caused by fibroids; The size of fibroids varies according to their location and number. The most common problems caused by fibroids are: Inguinal and abdominal pain, feeling of fullness and pressure in the groin and abdomen, pain during sexual intercourse, excessive and prolonged menstrual bleeding and intermittent bleeding. Abnormal bleeding is seen between menstrual periods due to the pressure of fibroids on the endometrium (inner layer of the uterus). Due to the decreased bladder capacity, the need to urinate frequently is felt. If the compression due to the fibroid is not corrected, the kidneys may be damaged. Fibroids in the lower part of the uterus press on the large intestines and rectum. As a result, bowel movements become difficult, constipation and hemorrhoids may occur. If you have a few of these symptoms, you should go to a gynecologist as soon as possible. According to your situation, they may recommend a laparoscopic or hysteroscopic myomectomy.
What is the Differences between Fibroid and Cyst?
Fibroid; They are solid tumors, mostly in or around the uterus, where smooth muscle cells come together. Cysts are water-filled sacs inside the ovary. Both are benign.
Laparoscopic (Closed) Myomectomy
Laparoscopic Myomectomy is a surgical method that is completed by visualizing the inside of the abdomen with a fiberoptic telescope called the Laparoscope and removing the fibroids. Within the scope of this method, small incisions are made in the belly button or around the hole and in the groin, so that it will not cause aesthetic concern in the future. By sending carbon dioxide gas through the incision in the abdomen, the abdomen and abdomen are inflated. This swelling prepares the ground for a better visualization of the area, and the light-emitting Laparoscope is placed in the pelvic cavity and images are taken of the uterus, ovaries, and neighboring pelvic organs. Then, small incisions are made in the lower part of the abdomen, the fibroids are separated from the uterus, the cavities in the uterus (uterus) are sutured and the fibroids are removed with the help of surgical instruments. After the fibroids are taken out of the body, the incisions in the abdomen are sutured. Laparoscopic Myomectomy operations, which are preferred for the removal of subsesoral and intramural fibroids that are few in number and smaller than 10 cm, are usually completed in 1 to 2 hours.
Hysteroscopic Myomectomy
In hysteroscopic myomectomy, no incision is made from the abdomen. It is a type of surgery performed by entering the uterus through the vagina with a surgical instrument called a hysteroscope. However, this type of surgery is not possible for every fibroid. It is a type of surgery that can only be applied in the treatment of submucous (originating from the inner layer of the uterus) fibroids. In this surgery, success is achieved especially in fibroids smaller than 4-5 cm, and the patient can return home on the same day.