What kind of surgery is needed for uterine fibroids? How big is the uterine fibroid that requires surgery?

What surgery is needed for uterine fibroids

Uterine fibroids are common benign tumors of the female reproductive system. Many patients will face the question of whether they need surgical treatment. So, what kind of surgery is needed for uterine fibroids? The following will answer this question in detail.

1. Laparoscopic surgery: Laparoscopic surgery is one of the main methods for treating uterine fibroids. The surgery involves making 3 to 4 small incisions in the abdomen and inserting laparoscopic instruments to remove and repair uterine fibroids. Laparoscopic surgery has the advantages of less trauma, faster recovery, and less bleeding, and is suitable for uterine fibroids with a diameter of less than 10 cm.

2. Hysterectomy: For uterine fibroids with a diameter of more than 10 cm, obvious symptoms or fertility impairment, hysterectomy is often chosen. Hysterectomy can be divided into two types: total hysterectomy and subtotal hysterectomy. The specific choice is determined by the patient's condition and postoperative fertility needs.

3. Obstetric surgery: Obstetric surgery is also an effective treatment for patients with large uterine fibroids or severe symptoms. This surgery is performed through a laparotomy, with a small hole cut in the uterus, and then the fibroids are removed and the uterus repaired. Obstetric surgery is traditionally considered suitable for older or multiparous women, but it can also be considered for other patients.

There is no fixed standard for how big a uterine fibroid must be to require surgery. Generally speaking, surgical treatment is only considered when uterine fibroids cause obvious symptoms, such as abnormal vaginal bleeding, pain, compression of related organs, or affect fertility and prevent pregnancy. Smaller uterine fibroids can be observed and controlled through standardized drug treatment and regular review.

In general, the surgery required for uterine fibroids should be determined based on the patient's specific situation and condition. The purpose of surgery is to relieve symptoms, preserve or restore fertility, and improve the patient's quality of life. Before deciding on surgical treatment, the patient should fully communicate with the doctor, understand their condition and surgical risks, and make a decision based on the doctor's advice.

In short, there is no fixed answer to what surgery is needed for uterine fibroids. The most appropriate treatment method should be determined based on the patient's specific situation. Before and after the operation, the patient should actively cooperate with the doctor's treatment and rehabilitation guidance, and undergo regular checkups to ensure the effectiveness of the operation and postoperative recovery.