Cervical Fibroid Surgery: Book Free Appointment

Cervical fibroid surgery is a medical procedure aimed at removing cervical fibroids, benign tumours that can cause various symptoms such as pain, heavy bleeding, and infertility. The choice of surgical approach is based on the size and location of the fibroids and the patient's future fertility desires. If you are experiencing symptoms indicative of cervical fibroids, consult our skilled gynecologists or book an appointment with Pristyn Care for a comprehensive consultation.

Cervical fibroid surgery is a medical procedure aimed at removing cervical fibroids, benign ... Read More

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What is Cervical Fibroid Surgery?

Cervical fibroid surgery is a medical procedure undertaken to remove cervical fibroids, also known as cervical leiomyoma or cervical myoma. These are benign tumours that develop in the cervix and can cause various symptoms ranging from pain and heavy menstrual bleeding to infertility issues. The need for surgery is determined by the size, location, and number of fibroids along with the patient’s overall health, age, and reproductive plans.

The surgery is performed by an experienced gynaecologist in an operation theatre, and depending on the method used, may not require a long stay at the hospital. Depending on the results of a thorough diagnosis using cervical fibroid ultrasound sonography (USG) or MRI, different surgical approaches like myomectomy or hysterectomy are chosen.

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What Are the Types of Cervical Fibroid Surgery?

The ideal surgical approach to treat cervical fibroids usually depends on the size and location of the fibroids and the patient’s reproductive plans. Below are the main types of cervical fibroid surgeries performed:

Open Myomectomy (Laparotomy): This involves making a larger incision in the abdomen to access and remove the fibroids. It is typically used for larger or multiple fibroids due to better visibility and access to pelvic organs.
Laparoscopic Myomectomy: This is a minimally invasive technique where small incisions are made in the abdomen. A laparoscope, a thin tube with a camera, is used to visualise and remove fibroids, resulting in minimal recovery time.
Robotic-Assisted Myomectomy: This approach is similar to laparoscopic myomectomy but utilises robotic technology for enhanced precision. It offers similar outcomes to traditional laparoscopic techniques, albeit at a higher cost and longer operation time.
Hysteroscopic Myomectomy: Mainly used for smaller fibroids that protrude into the uterine cavity. Instruments are inserted through the vagina and cervix into the uterus to remove the fibroids without any external incisions.
Hysterectomy: In cases where fibroids are large or if the patient has completed childbearing, this surgery that involves removing the uterus entirely along with the fibroids may be performed.
Uterine Fibroid Embolisation (UFE): Not a surgical procedure in the traditional sense, UFE involves blocking blood flow to the fibroids, causing them to shrink.

Trachelectomy: In rare instances where preserving fertility is crucial but a hysterectomy is necessary due to large fibroids, this involves removing the cervix while preserving the uterus.

Diagnosis Before Cervical Fibroid Surgery

Before planning a cervical fibroid surgery, your doctor will follow a meticulous diagnostic process to know the size, position, and number of fibroids. This includes:

Clinical Examination: During a routine pelvic exam, your doctor will check for any irregularities in the shape of your uterus and cervix which could signal the presence of fibroids.
Reviewing Medical History: Your past medical records will be perused, with a focus on your menstrual bleeding patterns and any previously observed symptoms.
Ultrasound Sonography (USG): Often dubbed as the primary imaging method for diagnosing fibroids, both transabdominal and transvaginal USGs can detect fibroids.
Magnetic Resonance Imaging (MRI): An MRI scan gives detailed images of the uterus and can differentiate between fibroids and other conditions. It is especially useful for cases considering surgical intervention.
Hysteroscopy: This technique includes inserting a hysteroscope through the cervix into the uterus to directly observe any fibroids.

Laparoscopy: This method involves examining the pelvic organs externally to gauge how much the fibroid has grown.

What is the Procedure for Cervical Fibroid Surgery?

Once diagnosed with cervical fibroids, surgical treatment becomes an option, especially if you have been experiencing discomfort or pain. The procedure involves:

Preoperative Preparation
- Assessment: Imaging (USG/MRI) to evaluate fibroid size and location.
- Anaesthesia Consultation: Pre-anaesthetic evaluation.
Types of Myomectomy:
- Abdominal Myomectomy: Open surgery with a horizontal incision in the abdomen.
- Laparoscopic Myomectomy: Minimally invasive with small incisions and use of a camera.
- Hysteroscopic Myomectomy: No external incisions; performed through the vagina and cervix.
3. Intraoperative Steps
- Anaesthesia: General anaesthesia is administered.
- Access: Incisions are made based on the chosen technique.
- Fibroid Removal: Fibroids are excised carefully, preserving surrounding tissue.
- Closure: Uterine muscle is sutured, and external incisions are closed.
4. Postoperative Care
- Monitoring: Patients are observed for complications.
- Recovery Guidance: Pain management and recovery expectations are provided.

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Is Cervical Fibroid Surgery Right for You?

Determining whether you are a suitable candidate for cervical fibroid surgery involves an evaluation by your doctor. While each case is unique, you might be considered for surgery if:

You have been diagnosed with a cervical fibroid and are experiencing significant symptoms that interfere with your day-to-day activities or quality of life.
You have a large cervical fibroid or multiple fibroids that are causing discomfort or other health issues.
You have completed childbearing and have decided with your doctor that hysterectomy is the best option to alleviate your symptoms.

Each treatment approach has its advantages and potential risks, so it is important to discuss these factors with your doctor before making a decision regarding cervical fibroid treatment.

What Are The Benefits Of Cervical Fibroid Surgery?

Dealing with cervical fibroids can be challenging for many women. Cervical fibroid surgery, particularly a myomectomy, offers substantial relief and other associated benefits. Here are some of them:

Symptom Relief: Post-surgery, most patients experience significant alleviation in symptoms such as heavy bleeding during menstruation, frequent pelvic pain, and undue pressure. This noticeably improves the patient’s quality of life.
Fertility Preservation: A cervical fibroid myomectomy is a fertility-friendly option. It allows women to retain their potential to conceive even after the operation. This aspect is of great significance for women who aspire to start a family in the future.

Reduced Risk of Complications: Removal of fibroids reduces the potential risk of complications during pregnancy such as miscarriage or preterm birth, especially when fibroids are located within the uterine cavity.

How To Prepare For Cervical Fibroid Surgery?

Embarking on cervical fibroid surgery involves several key steps to ensure a successful treatment:

Consultation: It is essential to have a comprehensive discussion about your medical history and ongoing medication with your doctor. They may also recommend imaging studies like cervical fibroid USG or cervical fibroid MRI to analyse the size and location of the fibroids.
Preoperative Medications: Your physician might suggest medications like GnRH agonists before the surgery to minimise fibroids and decrease blood loss.
Blood Work: Routine blood tests are essential to assure your fitness for the surgical procedure. In case of anaemia, arrangements for blood transfusions may be required.

Fasting: Usually, you would need to fast for an indicated duration before the surgical procedure, especially if general anaesthesia is scheduled.

What Are The Recovery Tips and Precautions To Follow After Cervical Fibroid Surgery?

Recovery from cervical fibroid surgery might differ based on the specific procedure undertaken. Here are some general recovery tips and precautions:

Follow-Up Appointments: Attend all follow-up meetings with your doctor to monitor your recovery and identify any complications early.
Pain Management: Utilise prescribed pain medications as suggested. Over-the-counter pain killers may also aid in managing discomfort.
Activity Restrictions: Refrain from heavy physical activity for a few weeks post-surgery. It would be best if you avoid heavy lifting and strenuous exercise until cleared by your doctor.

Dietary Considerations: Uphold a balanced diet rich in iron to aid recovery from any blood loss during surgery. Staying hydrated is also crucial.

Potential Risks Or Complications Associated With Cervical Fibroid Surgery

While cervical fibroid surgery is generally safe, it carries potential risks and complications:

Excessive Bleeding: This might occur during or after the surgical procedure, particularly in patients with pre-existing anemia.
Infection: Like any surgical process, there is a risk of infection at the incision site or internally.
Ureter Injury: Given their proximity to the cervical fibroids, the ureters could potentially get injured during surgery. Surgeons usually use cystoscopy for guidance during operations to mitigate this risk.
Recurrence of Fibroids: While a myomectomy removes existing fibroids, new ones can develop over time, requiring further treatment.

What Is The Cost Of Cervical Fibroid Surgery In India?

In India, cervical fibroid surgery, which may include myomectomy or a hysterectomy, usually costs between ₹70,000 to ₹1,50,000. This surgery is often used to treat conditions such as cervical leiomyoma and cervical myoma. However, the cost can vary widely, depending on several factors:

Hospital Type: If you choose treatment from a private hospital, you might find it more expensive than a government hospital. Many times, the cost variation is due to the services and facilities provided by different hospitals.
Location: The city where you opt to get the treatment can also bring about a price difference.
Doctor’s Experience: The expertise and experience of the doctor performing the surgery can also influence the cost. Renowned doctors might charge more for their services compared to less experienced ones.
Diagnostic Procedures: Certain diagnostic procedures like cervical fibroid USG and cervical fibroid MRI, required before the operation, can add to the overall cost.

Is Cervical Fibroid Surgery Covered Under Insurance?

Most health insurance policies in India do provide coverage for cervical fibroid treatments including myomectomy and hysterectomy. However, the coverage largely depends on the specific conditions outlined in your insurance policy.

Policyholders can typically expect coverage for elements like surgical fees, hospitalisation charges, costs related to anaesthesia during surgery, and pre-and post-operative care including consultations and diagnostic tests such as anterior cervical fibroid MRI.

However, it is worth noting that certain aspects are usually excluded from insurance coverage. For instance, procedures that are not medically necessary or experimental treatments may not be covered. Additionally, if you opt for treatment from an out-of-network provider, you may have to bear higher out-of-pocket expenses.

Therefore, always ensure to thoroughly review your health insurance policy and consult with your insurance provider to comprehend the specific inclusions and exclusions related to cervical fibroid surgery. Getting a clear understanding will help you plan your finances better and make informed decisions about your health.

FAQs

How common are cervical fibroids?

Cervical fibroids, also known as cervical leiomyomas or cervical myomas, are relatively rare compared to fibroids that develop in other parts of the uterus. However, they do occur and are a significant cause for concern due to their location and the symptoms they can cause.

What symptoms should I look out for which might indicate I have a cervical fibroid?

Common symptoms of cervical fibroids include heavy menstrual bleeding, pelvic pain or pressure, frequent urination, and constipation. If you are experiencing any of these symptoms, it is crucial to consult with your family doctor or gynaecologist as soon as possible.

Can a cervical fibroid be seen on a USG?

Yes, a USG is one of the primary methods used to identify cervical fibroids. The procedure involves using high-frequency sound waves to generate images of your uterus and cervix. This allows the doctor to identify any abnormalities such as a cervical fibroid.

Can cervical fibroids lead to complications during pregnancy?

Yes, cervical fibroids may lead to complications during pregnancy and childbirth. They can sometimes cause preterm birth, abnormal foetal position, or difficulties during labour.

Does cervical fibroid treatment always require surgery?

No, cervical fibroid treatment does not always necessitate surgery. Your doctor may initially prescribe non-surgical treatments like medication or lifestyle changes.

How is an anterior cervical fibroid different from other types of fibroids?

An anterior cervical fibroid is located at the front part of the cervix. Its location may influence the type of surgery needed for removal.

How soon can I get back to work after a cervical fibroid myomectomy?

Post a cervical fibroid myomectomy, most women resume their normal activities within 2-4 weeks. However, it is essential to follow all postoperative advice given by the doctor for a speedy recovery.

Are there any lifestyle modifications that can help manage cervical fibroids?

Yes, maintaining a healthy weight, eating a balanced diet rich in fruits, vegetables, and whole grains, exercising regularly, and limiting intake of alcohol and caffeine can help manage symptoms associated with cervical fibroids. It is also important to regularly visit your doctor for ongoing management and care.

Can cervical fibroids become cancerous?

While it is extremely rare, there have been isolated cases where a previously benign fibroid has become cancerous. This condition is known as leiomyosarcoma. However, it is essential to note that having fibroids does not increase your risk of developing this rare form of cancer.