Fibroid Uterus Treatment in Buffalo, NY
Fibroid uterus is a rather common condition diagnosed in women of all ages. It typically causes symptoms in the second to 4th decade of life. The symptoms are heavy bleeding, pelvic pain, back pain, constipation and urinary frequency. Fibroids can also be detected incidentally in infertility patients or patients who suffer from chronic anemia.
Fibroids are almost never dangerous and considered benign. There are three main treatment options for fibroids. Medical therapy, uterine artery embolization and surgery. Surgery would entail hysterectomy if fertility is no longer desired or myomectomy if the patient wishes to maintain future fertility. Patients are often referred to Dr Ghomi specifically for surgery after other options are considered and found unsuccessful.
Dr Ghomi extensively counsels every patient about all the available options, risks and benefits. Every patient receives individualized care because every patient’s situation is unique. Dr Ghomi does not believe in one-size-fits-all approach. There can be misinformation and certain biases on non-reputable online sites, which makes decision making challenging for the patients and creates confusion. Dr Ghomi believes there is never a single therapy or procedure that works well for every one. Our philosophy is to fully educate every and each patient and her choices so she can fully participate in the decision making process and reach a medical decision that is the right one for her.
For for scientific information about uterine fibroids please refer to American College of Obstetricians & Gynecologists site (www.acog.org) and search “fibroids”.
What Happens Next If I Choose to Have Surgery?
You will meet with Dr Ghomi’s nurse who will go over the plan. A surgical date is provided. You will be instructed how to obtain preoperative labs, You will have to have a visit with your physician who will provide a letter of medical clearance after reviewing your labs, chest x-ray and EKG. It is very important to follow preoperative instructions including bowel prep the day prior to surgery.
How Is Myomectomy And Hysterectomy Performed?
Both procedures are performed robotically through 4-5 dime sized abdominal incisions. Myomectomy is as involved as hysterectomy. Performing both procedures require sub specialized expertise and skill. The average operative times for both procedures are about 75 minutes in Dr Ghomi’s experience. Complex cases could last as long as 3 hours. Vast majority of patients are discharged home the same day of surgery. Full recovery after hysterectomy is 6-8 weeks. Full recovery after myomectomy is 1-2 weeks shorter.
Can I Have My Surgery Done Openly or Laparoscopically ?
Absolutely. However, Dr Ghomi does not perform laparoscopic hysterectomy or planned abdominal hysterectomy any longer since the adoption of robotic surgery. Dr Ghomi specializes in robotic surgery to perform hysterectomy and myomectomy unless contraindicated.
Can Myomectomy Be Done Through The Vagina?
Yes, only if the fibroid is within the uterine cavity—so called submucosal myoma. The procedure is referred to as hysteroscopic myomectomy. It is a much less involved procedure than robotic myomectomy. The recovery is 7-10 days.
What Are The Complications Of Myomectomy/Hysterectomy?
Complications are generally similar. Main complications include but not limited to bleeding, infection, injury to the abdominal organs, anesthesia complications and blood clot formation. Overall complications rate is 2-3%.
Is The Morcellator Used During Surgery?
Because of concerns regarding undiagnosed cancer dissemination, electric morcellation is no longer allowed during hysterectomy or myomectomy at hospitals where Dr Ghomi operates.
For more information regarding hysterectomy and myomectomy refer to www.acog.org.