What preparations are needed before uterine fibroid surgery? People with high risk of uterine fibroids

Most uterine fibroids are asymptomatic, and a few may present with vaginal bleeding, abdominal tumors, and compression symptoms. So, what is the preparation for uterine fibroid surgery?

The age of onset is usually 35 years old among women, and about 20% of them suffer from uterine fibroids. However, because the tumor develops slowly and there are no clinical symptoms, in some cases, the disease is accidentally discovered during a physical examination, so most people do not receive earlier treatment or even no treatment.

The following are the things to do before preparing for uterine fibroid surgery:

1. Ultrasound examination: B-ultrasound examination is a common method for diagnosing uterine fibroids, and the accuracy of fibroid identification can reach 93.1%. Ultrasound examination shows that the uterus is enlarged and irregular in shape; the number, location, size of fibroids, whether the fibroids are uniform or liquefied cysts; and whether there is compression of other organs around.

2. Uterine probe examination: Use a probe to measure the uterine cavity. Intramural fibroids or submucosal fibroids often enlarge and deform the uterine cavity. The uterine probe can be used to detect the size and direction of the uterine cavity. Comparing it with the findings in biphasic clinic can help determine the nature of the mass. At the same time, it can be used to understand whether there is a mass in the cavity and its location.

3. Plain X-ray examination: When the tumor is calcified, it appears as scattered uniform spots, or a shell-like calcified capsule, or a rough, wavy, honeycomb-like edge.

4. Diagnostic curettage: Small submucosal fibroids or dysfunctional uterine bleeding, endometrial polyps are not easy to be found through biphasic diagnosis, and can be assisted by curettage. If it is a submucosal fibroid, the scraper feels the uterine cavity bulge, starts high and then slides, or feels something sliding in the uterine cavity. However, small submucosal fibroids are easy to slide and missed, which is the shortcoming of diagnostic curettage.

5. Hysterosalpingography: Ideal hysterosalpingography can not only show the number and size of submucosal fibroids, but also locate them. Therefore, it is very helpful for the early diagnosis of submucosal fibroids, and the method is simple. Photography of the fibroid site shows that the uterine cavity is incomplete.