When does uterine fibroids require surgery? Surgical treatment of uterine fibroids

How many surgeries are needed for uterine fibroids? Experts point out that uterine fibroids are a common benign tumor, but in some cases, such as when uterine fibroids grow very quickly to a certain diameter, when uterine fibroids worsen, when uterine fibroids cause infertility, etc., surgery must be used to treat uterine fibroids to avoid worsening of the disease.

Experts: Surgery should be performed in the following cases:

1. The diameter of a single fibroid exceeds 5 cm; the uterus enlarges beyond 10 weeks of pregnancy.

Symptomatic uterine fibroids

Due to uterine fibroids, heavy menstrual flow, long menstrual cycles, and long-term excessive menstrual blood loss, patients may develop secondary anemia and even anemic heart disease. Symptoms include severe general fatigue, pale complexion, shortness of breath, palpitations, etc. This is common in submucosal uterine fibroids and intramural uterine fibroids.

Fibroids compress the bladder, causing urgency, frequency, or even difficulty urinating; compressing the rectum, causing rectal irritation or even difficulty defecating; low-lying fibroids or cervical fibroids or broad ligament fibroids compress the ureter, causing hydroureter and renal pelvis. Generally speaking, surgical treatment should be considered once these conditions are discovered.

3. Suspected malignant changes in fibroids

Uterine fibroids are less likely to worsen. Generally, they are more common in people who are older, have larger fibroids, and grow faster. Especially after menopause, fibroids grow rapidly, or after menopause, fibroids should be more vigilant. Therefore, although most uterine fibroids shrink after menopause, they cannot be completely ignored, but they should still be checked regularly for a period of time.

4. Fibroids cause infertility

Uterine horn fibroids compress the entrance of the fallopian tubes and can hinder pregnancy. In addition, fibroid patients often have ovarian dysfunction, leading to infertility. Uterine fibroids deform the uterus, hinder the implantation of fertilized eggs, and affect endometrial hyperplasia. Even if the embryo is implanted, it is easy to cause miscarriage. If you suspect that fibroids cause infertility, you should undergo surgery in time.

5. When uterine fibroids are difficult to separate from ovarian tumors

Sometimes, prompt surgery is necessary, whether based on clinical symptoms, physical examination, or auxiliary examinations such as ultrasound.

6. When the subserosal fibroid pedicle is twisted

At this time, it often manifests as acute lower abdominal pain. If surgery is not performed in time, the necrotic myoma may be reversed, which may lead to secondary infection, severe septic shock, secondary intestinal adhesions, intestinal obstruction, etc.