Stephen J. Schueler, M.D.

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Fibroids Myomectomy

During myomectomy, fibroids are removed from the uterus, without removing the entire uterus.

Myomectomy for Uterine Fibroids

  • Abdominal myomectomy:
    • A surgical incision is made in the abdomen, in order to remove large fibroids.
  • Laparoscopic myomectomy:
    • A flexible scope is used to visualize the inside of the abdomen
    • Fibroids are removed through tiny incisions in the abdomen.
  • Hysteroscopic myomectomy:
    • A flexible scope is passed through the vagina and into the uterus, in order to visualize the inside of the uterus
    • Fibroids are removed from the inside of the uterus
  • Myolysis:
    • A flexible scope is used to visualize the inside of the abdomen
    • Electrical current is used to destroy the fibroids
  • Cryomyolysis:
    • A flexible scope is used to visualize the inside of the abdomen
    • Liquid nitrogen is used is used to freeze and destroy the fibroids
  • Endometrial ablation:
    • A flexible scope is passed through the vagina and into the uterus, in order to visualize the inside of the uterus
    • Heat is used to destroy the inside lining of the uterus
    • This may be used to treat uterine bleeding, but will not remove the fibroids
  • Focused ultrasound surgery:
    • An MRI scanner identifies the location of the fibroids and targets the fibroids for treatment.
    • While in the MRI scanner, high energy sound waves are directed at the fibroids, destroying them.

Continue to Fibroids Questions For Doctor

Last Updated: Jan 7, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Fibroids References
  1. Chen S. MRI-guided focused ultrasound treatment of uterine fibroids. Issues Emerg Health Technol. 2005 Jul;(70):1-4. [16007747]
  2. Lippman SA, Warner M, Samuels S, Olive D, Vercellini P, Eskenazi B. Uterine fibroids and gynecologic pain symptoms in a population-based study. Fertil Steril. 2003 Dec;80(6):1488-94. [14667888]
  3. Medical Letter. Uterine artery embolization for fibroids. Med Lett Drugs Ther. 2005 Apr 11;47(1206):31-2. [15821634]
  4. Prollius A, de Vries C, Loggenberg E, Nel M, du Plessis A, Van Rensburg DJ, Wessels PH. Uterine artery embolization for symptomatic fibroids. Int J Gynaecol Obstet. 2004 Mar;84(3):236-40. [15001371]
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