Lumps in the uterus are called uterine fibroids. It is a type of tumor that develops in a woman’s uterus. It is non cancerous. Almost every woman suffers from uterine fibroids in her life, of which most of the women are not aware of it.
Whether to have surgery for a lump in the uterus is up to you as most often it does not cause pain or other symptoms.
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However, if a woman wants to become a mother, then it must be treated. It can affect fertility in many ways, such as-
- union of sperm and egg
- Embryo Transplantation
- The growth of the child is also affected
There are two main surgical procedures for uterine fibroids, which one you will be treated with depends on:
- size of knot
- number of fibroids
- Position of fibroids in uterus
- If a woman wants to be a mother
Hysterectomy can be done to treat a lump in the uterus. In this, a particular part of the uterus or the entire uterus can be removed.
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If the size of the fibroids is large and the woman does not want to have children, a hysterectomy may be a good option.
Hysterectomy can be done in the following ways:
- Abdominal hysterectomy- The surgeon removes the uterus by making a cut in the lower abdomen.
- Vaginal hysterectomy- The uterus is removed through the vagina. This method is not suitable if the size of the fibroids is large.
- Laparoscopic Hysterectomy- The surgeon makes small incisions near the navel, inserts the laparoscope into the body and removes the uterus.
This process is very popular. There is also a robotic method for this.
If a hysterectomy is performed to treat fibroids, most often, surgeons only remove the uterus. The cervix and ovaries are discarded. Due to this the production of female hormones continues in the body.
It can take up to 8 weeks to recover from an abdominal hysterectomy. Vaginal and laparoscopic hysterectomies have faster recovery, fewer complications.
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After the successful process of hysterectomy, the lump in the uterus ends forever but the woman is never able to become a mother.
Myomectomy can also remove abnormal bleeding problems with uterine fibroids. If a woman wants to get rid of fibroids and also wants to become a mother, then this is a good option.
About 90 percent of women get rid of a lump in the uterus after a myomectomy. Once surgery is done, the growth of the lump stops, but new fibroids can develop.
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According to statistics, about 33 percent of women who have myomectomy have to undergo surgery again within 5 years because new fibroids develop in them.
Depending on the size and position of the fibroids, myomectomy can be performed in the following three ways:
Hysteroscopy is considered the best option for removal of small and small lumps in number. It can also remove lumps present within the uterus.
During this procedure, surgeons pass the hysteroscope through the vagina and cervix to the uterus. A special liquid is injected inside the uterus. This makes it easier to see inside the uterus.
After this, with the help of an instrument, the surgeon cuts the lump. The cut pieces of the uterine lump are taken out with the liquid.
It is a minimally invasive procedure. You can leave the hospital home on the same day as the surgery.
This procedure is also done to remove small sized lumps. Two cuts are made in the lower abdomen, one to insert the telescope and the other to the surgical instrument.
The pelvic and uterine region are viewed with the help of a telescope and the lump is cut out with the help of surgical instruments. They are taken out by cutting into pieces.
Another method is robotic-laparoscopy in which surgeons cut the lump with the help of robotic instruments.
After a few hours of this procedure, the patient is discharged from the hospital. Recovery is also faster.
3. abdominal myomectomy
This procedure is also known as laparotomy. It is a good option for removing large lumps.
General anesthesia is used in abdominal myomectomy operation. The surgeon makes a cut in the lower abdomen of the patient and removes the lump. This procedure is easy but leaves a long scar after surgery.
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Abdominal myomectomy tends to cause more complications than other methods of myomectomy. After surgery, you have to stay in the hospital for 2-3 days. Full recovery can take up to 6 weeks.
Endometrial ablation is not an operation, but a minimally invasive procedure. This process works by destroying the lining of the uterus. If the size of the lump in the uterus is small, then this procedure can be beneficial.
Women often have to face abnormal vaginal discharge due to fibroids. This procedure does not destroy the fibroids, but it can remove abnormal bleeding caused by the fibroids.
Endometrial ablation is performed in a doctor’s clinic or hospital. The woman may be given general anesthesia for the procedure.
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Apart from general anesthesia, the doctor may also give spinal or epidural anesthesia to the patient. Spinal or epidural anesthesia numbs the lower part of the waist.
To carry out the operation, the doctor moves an instrument to the woman’s uterus. With the help of equipment, the process is carried out in one of the following ways:
- electric current
- microwave energy
- hot liquid
- high energy radio waves
- hot balloon
- cold probe
After successful endometrial ablation, the patient is sent home the same day. Recovery time can vary (depending on which method is used). This is the most effective procedure to remove the bleeding due to fibroids.
Disadvantages of uterine lump surgery
All the procedures and surgeries mentioned above for uterine lump surgery are safe, but in some situations the following risks may be seen:
- incision after the procedure
- bowel or urinary problems
- pregnancy problems
- fertility problems
A hysterectomy may be required after the above procedures. However, it is exceedingly rare. Abdominal myomectomy causes more side effects than laparoscopic myomectomy.
How does uterine lump surgery affect fertility?
How the fibroid removal operation will affect a woman’s fertility depends on the type and method of surgery.
In the process of hysterectomy, the entire uterus is removed. After this a woman can never become a mother.
Even after endometrial ablation, pregnancy becomes very difficult. In this procedure the endometrial lining is removed. The egg implants itself in the endometrial lining. If a woman tries to conceive after this procedure, the chances of miscarriage increase. In addition to miscarriage, other serious complications can also be seen.
The procedure of myomectomy does not have any significant effect on the fertility of the woman. Women are able to conceive after myomectomy.
If a woman undergoes a procedure after which pregnancy is possible in the future, the woman should consult a doctor before trying to conceive. After surgery for fibroids, it is essential to give the uterus time to heal completely. Do not get pregnant immediately after surgery. Should wait 2-3 months.