What is Fibroid Removal Surgery?
Fibroid surgery is a procedure designed to remove fibroids from the uterus, reduce symptoms and improve the patient’s quality of life. This surgery can be performed in different ways, depending on the size, location, and number of fibroids present, as well as the patient's overall health and preferences. The goal is to eliminate the fibroids while preserving the uterus and, when possible, fertility. There are two primary approaches to fibroid surgery: myomectomy and hysterectomy. Each procedure is planned as per the patient’s specific condition, needs, and future reproductive goals.
When Do You Need Fibroid Surgery?
Fibroid surgery is considered when other treatment options, such as medications or non-invasive procedures, aren't helping the patient's condition. Fibroids that cause severe symptoms, like excessive bleeding, pain, or pressure, can significantly affect a patient's everyday life, leading to fatigue, anaemia, and discomfort.
Surgical removal of the fibroids can help resolve these issues and prevent complications such as infertility, miscarriage, or preterm birth. For women who are done with childbearing, a hysterectomy (removal of the uterus) may be recommended, offering a permanent solution. Fibroid surgery not only improves physical well-being but also enhances the emotional and mental health of women suffering from fibroid-related problems.
Who is the Right Candidate for Fibroid Surgery?
Fibroid surgery is suitable for women experiencing symptoms. However, not all women with fibroids require surgery. The decision to undergo fibroid removal is based on the severity of symptoms and the size and location of the fibroids.
Women of reproductive age with symptomatic fibroids (heavy menstrual bleeding, pelvic pain, or infertility) are suitable candidates for myomectomy. This surgical approach preserves the uterus, allowing women to maintain their ability to conceive in the future. Myomectomy can be particularly beneficial for women who are actively trying to conceive or who wish to retain their fertility.
Post-menopausal women can also develop fibroids, although it is less common at their age. When fibroids continue to cause symptoms after menopause, significant pain, or lead to urinary or digestive issues, surgery may be necessary. A hysterectomy is often recommended in these cases, as it provides a permanent solution and eliminates the risk of further fibroid growth.
When to Consult a Doctor for Uterine Fibroid Surgery?
A patient should consult a gynaecologist or fibroid specialist if she experiences:
- Persistent heavy menstrual bleeding that causes anaemia or disrupts daily life.
- Chronic pelvic pain or pressure not relieved by medication.
- Difficulty conceiving or repeated pregnancy loss is believed to be due to fibroids.
- A rapidly enlarging abdomen or a sensation of fullness.
- Bladder or bowel symptoms, such as frequent urination or constipation, are related to fibroid pressure.
- Worsening symptoms during or after menopause may indicate a need for further evaluation.
- Early consultation and diagnosis allow for more treatment options and can prevent complications. A timely decision about surgery can significantly improve a woman's health and quality of life.
With proper diagnosis, preoperative planning, and post-surgical care, fibroid surgery offers long-term symptom relief, improved reproductive outcomes (where desired), and a better quality of life. Women experiencing significant discomfort from fibroids should not hesitate to consult a qualified gynaecologist to explore their options.
Book an appointment with our expert gynaecologists in Gurgaon for fibroid evaluation and treatment
Contact us to schedule your consultation.
What are the Common Signs That Fibroid Surgery May be Needed?
Not all women with fibroids need surgery. However, when fibroids begin to cause severe symptoms, surgery may become a necessary option. Here are the signs:
- Heavy or prolonged menstrual bleeding: This can lead to anaemia and extreme fatigue.
- Pelvic pain or pressure: Fibroids can exert pressure on surrounding organs, causing discomfort.
- Frequent urination: Large fibroids can press on the bladder, leading to an increased need to urinate.
- Pain during intercourse: This is a common complaint for women with fibroids.
- Difficulty conceiving: Fibroids, especially those located within the uterine cavity, can interfere with conception or cause pregnancy loss.
If these symptoms are severe or persistent, fibroid surgery may be the most effective way to manage or eliminate the issue.
What are the Types of Fibroid Surgery?
There are two primary types of fibroid surgery: myomectomy and hysterectomy. The appropriate procedure depends on the number, size, and location of the fibroids, as well as the patient's pre-existing disease and fertility concerns.
Myomectomy (Fibroid Removal Only)
Myomectomy is a surgical procedure that removes only the fibroids from the uterus, leaving the uterus intact. This is an ideal option for women who wish to preserve their fertility. The procedure can be performed through several methods, including:
- Abdominal Myomectomy:A traditional open surgery where an incision is made in the abdomen.
- Laparoscopic Myomectomy: A minimally invasive procedure using small incisions and a camera to remove the fibroids.
- Hysteroscopic Myomectomy: A procedure where the fibroids are removed through the cervix using a camera and specialised instruments.
Myomectomy can offer relief from symptoms while preserving the ability to have children. However, fibroids may return over time, and additional surgery may be necessary.
Hysterectomy (Uterus Removal)
Hysterectomy, also known as uterus removal surgery involves the complete removal of the uterus and, in some cases, the cervix. This procedure is recommended for women who no longer wish to have children or for those with large or multiple fibroids that are causing severe symptoms. A hysterectomy offers a permanent solution to fibroid-related issues and eliminates the possibility of fibroids returning. There are different types of hysterectomy procedures, including:
- Abdominal Hysterectomy: The uterus is removed through an incision in the abdomen.
- Vaginal Hysterectomy: The uterus is removed through the vaginal canal, leaving no external scar.
- Laparoscopic (Minimally Invasive) Hysterectomy: The uterus is removed through small incisions using a camera and specialised tools.
How to Prepare Before Fibroid Surgery?
Before surgery, the patient will undergo a series of tests and imaging studies to assess the size, location, and number of fibroids. These may include:
- Ultrasound: The most common method to visualise the fibroids.
- MRI (Magnetic Resonance Imaging): A more detailed imaging test to provide information about the size and position of fibroids.
- Blood Tests: To check for anaemia, infections, and other health concerns that could affect surgery.
Certain medications should be avoided before surgery, especially those that can increase the risk of bleeding. These include blood thinners, anti-inflammatory medications, and herbal supplements. The patient will be given specific instructions on which medications to stop taking before the surgery.
What is the Procedure of Uterine Fibroid Surgery / Fibroid Removal Surgery?
The exact procedure will depend on the type of surgery being performed. However, the general steps involved in fibroid surgery include:
- Anaesthesia: The patient will be placed under general anaesthesia to ensure they are asleep and pain-free throughout the surgery.
- Incision: An incision will be made either in the abdomen (for abdominal myomectomy or hysterectomy) or through the cervix (for hysteroscopic myomectomy).
- Removal of Fibroids: The surgeon will carefully remove the fibroids or, in the case of a hysterectomy, the entire uterus.
- Closure: After the fibroids are removed, the surgeon will close the incision using stitches or staples.
In some cases, minimally invasive techniques may be used, which require smaller incisions and generally result in quicker recovery times.
What is the Recovery Process Post-Surgery?
After surgery, following the doctor's instructions is critical for a smooth and successful recovery. Proper aftercare not only helps manage discomfort but also reduces the risk of complications and promotes healing.
- Adequate rest is essential in the first few weeks post-surgery.
- Light walking is encouraged to improve blood circulation and reduce the risk of blood clots.
- Heavy lifting, strenuous exercise, and sexual activity should be avoided until the doctor gives clearance—typically after 4 to 8 weeks, depending on the type of surgery.
- Keep the surgical site clean and dry.
- Follow instructions for dressing changes or wound monitoring.
- Drinking plenty of fluids can help prevent constipation, which is a common issue after surgery.
- Take prescribed pain medications and antibiotics as directed.
Get advanced fibroid surgery (myomectomy or hysterectomy) in Gurgaon with experienced specialists
Why Choose Artemis Hospitals for Fibroid Surgery in Gurgaon?
Artemis Hospitals offer patients the highest standard of care for fibroid surgery. Our team of experienced, board-certified gynaecologists and surgeons specialises in both myomectomy and hysterectomy, ensuring that every patient is treated by experts in the field. We utilise the latest technology, including the Da Vinci robotic system, which enables high precision and safety during surgery. Many of our procedures, such as laparoscopic and robotic myomectomy, are minimally invasive, offering patients faster recovery, less pain, and minimal scarring compared to traditional surgery.
At Artemis, we believe in personalised care. Our multidisciplinary team works together to create a tailored treatment plan for each patient, addressing their specific condition and needs. Additionally, our patient-centric approach ensures that you receive comprehensive support throughout your journey, including pre- and post-surgical care, pain management, and follow-up services. With a strong track record of successful outcomes, Artemis Hospital is committed to improving your quality of life and ensuring a smooth, effective recovery.
How to Book an Appointment for Fibroid Removal Surgery in Gurgaon?
Booking an appointment at Artemis Hospital is simple. You can call our customer care at +91-9800400498, or book online through our website or WhatsApp at +91-9800400498. For added convenience, you can also use the Artemis Personal Health Record (PHR) mobile app, available for both iOS and Android.
Reviewed By Dr. Nidhi Rajotia
Unit Head - Obstetrics and gynaecology (Obs & Gynae)
Artemis Hospitals
Frequently Asked Questions
What is the best time to have fibroid surgery?
The best time for fibroid surgery is usually when the symptoms are significantly affecting your quality of life, such as heavy bleeding, pain, or difficulty conceiving. It’s also advisable to schedule surgery after discussing it with your doctor, taking into account your age, health status, and reproductive plans.
Will fibroid surgery affect my fertility?
A myomectomy (fibroid removal) typically does not affect fertility and may even improve it by eliminating fibroids that are blocking the uterus or fallopian tubes. However, the extent of the surgery and the type of fibroids may affect fertility outcomes, so it's important to discuss your options with your surgeon.
Can fibroids come back after surgery?
While myomectomy removes the fibroids, it does not prevent new ones from developing. The recurrence of fibroids is possible, though the risk is lower after minimally invasive surgeries compared to traditional open surgery.
Is fibroid surgery painful?
Patients experience some discomfort post-surgery, but the pain can be managed with medications. Minimally invasive procedures tend to result in less post-operative pain compared to traditional surgery.
How long will I be in the hospital after fibroid surgery?
The length of your hospital stay depends on the type of surgery performed. For laparoscopic or robotic surgeries, the stay might be as short as 1-2 days, while open surgery may require a 3-5 day stay for observation and recovery.
Are there any alternatives to fibroid surgery?
Yes, non-surgical options like medications, uterine artery embolisation (UAE), or MRI-guided focused ultrasound can be used to shrink fibroids. However, these treatments may not offer permanent solutions, and surgery remains the most effective treatment for large or symptomatic fibroids.
What are the risks of fibroid surgery?
As with any surgery, risks include infection, bleeding, damage to surrounding organs, and blood clots. However, these complications are rare, especially with minimally invasive approaches. Your surgeon will discuss all potential risks before proceeding.
How long does it take to recover from fibroid surgery?
Recovery times vary depending on the type of surgery. After a myomectomy, most patients resume light activities in 2-4 weeks, while more invasive procedures like a hysterectomy may require 6-8 weeks for full recovery.
How do I find a hospital near me that offers fibroid surgery?
To find a hospital near you that specialises in fibroid surgery, you can use online resources like Google or hospital directories. Additionally, your gynaecologist can recommend hospitals with a good reputation for uterine fibroids treatment.
What should I look for in a hospital offering fibroid surgery?
Look for a hospital with experienced gynaecologists, state-of-the-art equipment (such as robotic surgery options), and good patient reviews. The hospital should also provide comprehensive care, including pre- and post-surgical support.
Are there any specialised hospitals near me for minimally invasive fibroid surgery?
Yes, many hospitals offer specialised services for minimally invasive fibroid surgeries like laparoscopy or robotic-assisted surgery. Check with your local hospitals or ask your gynaecologist for recommendations on hospitals with expertise in these advanced techniques.
How much does fibroid surgery cost near me in Gurgaon?
The cost of fibroid surgery varies depending on the type of surgery, hospital, and location. For more accurate pricing, it is best to consult directly with the hospital’s billing department, as costs may differ based on the complexity of the case, the type of surgery, and insurance coverage.