Fibroid Treatment Options

Fibroids occur in 50-70% of women so are fairly common. Most of the time they remain small and cause no problems. Fibroids are also called myomas and leiomyomas. They’re usually benign and are made up of the uterine wall that starts growing in a ball for unknown reasons.

Treatment options for fibroids range from medication to surgery. An ultrasound gives Dr. Webb the information necessary to determine the optimal course of treatment.

Medications

Non-surgical options include medications that treat fibroids by blocking the production of progesterone and estrogen. This can be a temporary fix but in some cases is a first course of action. Other medications can help eliminate some of the bleeding with fibroids but do nothing to shrink them.

Non-Invasive Procedures

In some cases, MRI guided ultrasound therapy is effective. This technique uses an MRI to identify the exact location of the fibroids. A beam of sound waves into the fibroid to heat and
eliminate it.

Minimally-Invasive Procedures

Several minimally-invasive options exist to treat fibroids, depending upon where they are located and whether there are one or more. Dr. Webb walks through the optimal solution for each patient based upon their unique situation.

If ultrasound results indicate surgery is recommended, the da Vinci® Myomectomy for fibroids is the latest medical solution available. However, surgery is not always necessary, based upon test results.

Many patients who are having a myomectomy to remove uterine fibroids will be candidates for a minimally invasive, robot-assisted procedure called da Vinci® myomectomy. Special cameras provide a 3D HD view inside your uterus, and the surgery is performed through a few small incisions in your abdomen using robotic technology controlled by your surgeon at a nearby console. The instruments used in da Vinci® surgeries have the capability of rotating and bending in ways that the human hand and wrist cannot.

da Vinci® myomectomy surgery is associated with shorter hospital stays, less blood loss and fewer postoperative fevers as compared with open abdominal surgery. It is also associated with less blood loss as compared with traditional laparoscopic surgery.

More Invasive Procedures

When many fibroids exist, are unusually large or deep in the uterine wall, an open myomectomy may be the best solution. A hysterectomy is typically the last course of action depending upon the severity of the fibroid condition.