What are the symptoms of uterine fibroids? How to choose surgery for uterine fibroids

Because people have different physiques, even if they suffer from the same disease, the appropriate treatment methods are also different. For example, for uterine fibroids, the treatment method should be selected according to the specific symptoms. Let’s take a look at it together with Xiaobian below.

Symptom 1: Submucosal fibroids

When we decide to remove fibroids, if it is a submucosal fibroid with a diameter of less than 5 cm, we should choose hysteroscopic surgery; vaginal hysteroscopic surgery has no wounds on the abdomen and less damage, but it cannot completely remove the fibroids. It can only be removed little by little, and the operation time is long, and effective monitoring methods are required during the operation. When choosing this operation, we must fully consider the patient's condition, physical condition and the doctor's proficiency in the technology to avoid uterine perforation or collateral damage to nearby organs (ureters, intestines).

Symptom 2: Small number of subserosal fibroids

If it is a subserosal fibroid or an intramural fibroid, the number of fibroids is not large (no less than 10), the size is moderate (no less than 4 cm), and the possibility of fibroid deterioration is excluded, laparoscopic surgery should be the best choice; but in laparoscopic surgery, the doctor's hands cannot directly touch the uterus, which may miss hidden small fibroids, easily leading to incomplete surgery, postoperative B-ultrasound detection of fibroids, or recurrence within a short period of time after surgery.

In addition, laparoscopic myomectomy causes a lot of bleeding, makes it difficult to suture the tumor cavity, takes a long time to operate, and requires a long time for the patient to be anesthetized, causing unnecessary harm. Therefore, doctors should promptly and accurately estimate the difficulty of the operation before and during the operation, and decisively formulate and adjust the surgical method to minimize surgical trauma.