What is myoma?

myomawhy?

Fibroids are tumors that grow from the uterine muscle. They are good-natured. They occur in approximately 40% of women over the age of 35. They can be single or multiple. They are named according to their settlements.

Complaint

They usually do not cause any complaints. However, in some cases, they may cause complaints according to their settlements and sizes.

  • They can grow too much and press on other organs. Frequent urge to urinate due to pressure on the bladder.
  • Problems can be tried by making pressure by making 2 pipes, which you call the ureter, which brings urine from the kidneys to the urinary bladder.
  • Constipation and intestinal obstruction by pressing on the intestines
  • Inflammation of the veins by pressing on the inguinal veins
  • Again, with its excessive growth, it can cause groin pain, severe menstrual pain, pain during intercourse and lower back pain.
  • Fibroids in the uterus or fibroids that press on the uterus can cause prolonged and excessive bleeding. Fibroids in the cervix can also cause breakthrough bleeding.
  • Fibroids in the uterus or fibroids that press on the uterus can cause infertility and recurrent miscarriages. It is not clear whether fibroids that are not in the uterus and do not press on the uterus are the cause of infertility or recurrent miscarriage. However, in a study we have done, we have found findings that the fibroids mentioned can also cause infertility (These fibroids can cause negative effects by secreting some cytokines).

myomaand pregnancy

If pregnant with fibroids, conditions such as premature birth, groin pain (fibroids can grow during pregnancy and can be extremely painful), growth retardation may occur. Surgery to remove fibroids should never be performed during pregnancy. Therefore, if fibroids are detected before pregnancy, you should discuss this issue with your doctor. Removal of fibroids in appropriate cases can provide a comfortable and problem-free pregnancy.

Treatment

  • Surgical removal is the most accepted treatment method for fibroids that cause complaints.
  • It may be wiser to remove the uterus instead of removing the fibroids, especially in women who have completed their family, especially over the age of 40.
  • In those who want a child and young people, myoma removal surgery should be done very, very carefully and carefully.
  • While fibroids are removed from the uterus, the uterus should never be damaged. While the stitches are being removed, stitches may pass through the uterus (where the baby is attached) and may cause the lining of the uterus to close and adhere, which may prevent conception.
  • After the fibroid or fibroids are removed, it should be checked by hysteroscopy whether stitches are passed through the uterus.
  • In addition, after removing the fibroids from the uterus, suturing and closing the uterus should be done with hidden sutures in accordance with the principles of microsurgery. If stitches are left outside that will come into contact with the intestines, there will be a risk of adhesion, which may prevent conception.
  • If the surgeon’s experience is sufficient and there are appropriate conditions, removal of fibroids should be performed laparoscopically (closed) due to the numerous advantages it provides.

Click to watch the laparoscopic (closed) removal of fibroids surgery.

Removal of fibroids in the uterus is performed by hysteroscopy.

Please click to watch hysteroscopic fibroid removal surgery.

Occlusion of the vessels feeding the fibroids is another method. With this method, a catheter is placed in the leg and advanced to the vessel feeding the fibroid. After the vessel is occluded, the procedure is completed. The most common complaint in this method is pain after the procedure. A rare but serious undesirable situation in fibroid embolization is that about 1% of the vessels feeding the uterus are also affected and the uterus must be removed without blood. For this reason, it should be done carefully in young people who do not have children or who want to have children because of this negativity.

myomaDoes myoma recur after surgery?

Yes. It can repeat.

The recurrence of fibroids after fibroid removal depends on many factors. Therefore, it is difficult to estimate the rate. The probability of recurrence varies depending on the surgical technique applied, the surgeon’s experience, and whether GnRHa was given before the procedure (the probability of recurrence is higher in those given GnRHa). But it should not be forgotten that fibroids develop spontaneously from the uterine wall. Fibroids that cannot be seen or felt during surgery can grow within 2-3 years. The probability of myoma recurrence within 5 years after fibroid removal is roughly 10%.

Importantnote

Myoma surgeries are surgeries that can cause a lot of bleeding. Although it is very rare in young people and those who want a child, it may be necessary to remove the uterus due to excessive bleeding.

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