Published in:
01-09-2014 | Management of Uterine Fibroid (I Meinhold-Heerlein, Section Editor)
Surgical Treatment of Fibroids
Author:
Ibrahim Alkatout
Published in:
Current Obstetrics and Gynecology Reports
|
Issue 3/2014
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Abstract
Uterine leiomyomas are the most common benign tumors of the female genital tract. Fibroids are associated with a variety of clinical problems, including bleeding disorders, bulk-related symptoms, and infertility. For women who wish to preserve their uterus, fibroids can be surgically removed by hysteroscopy, laparoscopy, or laparotomy. The only definitive solution, however, is hysterectomy. The choice of treatment must be made after carefully weighing alternative treatment methods, such as expectant management, medical treatment, and interventional radiology, and obtaining informed consent. The optimal treatment decision takes into account the interests and wishes of the patient as well as the practical feasibility in the clinical setup. Surgical skills and experience are an important factor, as surgical procedures on the uterus are not without risk, and can lead to severe complications. The decision to operate anticipates an improvement of the initial situation, and the appropriate surgical approach is of the utmost importance.