Do multiple uterine fibroids require surgery? Surgical removal methods for multiple uterine fibroids

The number, location and size of multiple uterine fibroids generally vary from patient to patient. So which patients need surgery to remove multiple uterine fibroids?

The diagnosis of multiple uterine fibroids is not difficult, but it is not always so. Especially very small asymptomatic fibroids, or fibroids complicated with pregnancy, adenomyosis, or fibroid cystic changes and adnexitis, are sometimes misdiagnosed, with a misdiagnosis rate of about 6%.

Multiple uterine fibroids must be surgically removed in some cases. The problems that require surgical removal for patients with multiple uterine fibroids are as follows:

1. Multiple uterine fibroids cause heavy bleeding, or long-term menorrhagia. Prolonged menstruation leads to anemia, which cannot be cured by medication.

2. Patients with multiple uterine fibroids growing too fast.

3. Multiple uterine fibroids may lead to habitual miscarriage. If other examinations are normal, the cause of infertility is uterine fibroids, and the patient should also have them removed.

4. When multiple uterine fibroids grow to the size of a fist and compress other pelvic organs, surgical removal can relieve symptoms and prevent the large fibroids from worsening.

5. After entering menopause, multiple uterine fibroids not only do not shrink, but also become larger. During the resection operation, the surgical method can be determined according to the location, size and patient condition of the fibroids. Except for malignant lesions, regardless of age and fertility requirements, do not remove the uterus easily, so as not to cause pelvic relaxation, constipation, urinary incontinence, sexual dysfunction, etc., which will affect the quality of life.