Uterine fibroids are common non-cancerous growths that develop in or around the uterus. While some women may have fibroids without experiencing any symptoms, others may experience heavy or prolonged menstrual bleeding, pelvic pain, pressure, frequent urination, bowel discomfort or fertility-related concerns. The symptoms can vary depending on the number, size and location of the fibroids, making Fibroid Removal in Mumbai an option to consider when symptoms significantly affect daily life or reproductive health.
When fibroids begin affecting daily activities, reproductive plans or overall wellbeing, a gynaecological evaluation can help determine whether observation, medication or surgery is appropriate. Fibroid Removal in Mumbai can involve different surgical approaches depending on the characteristics of the fibroid and the patient’s individual needs.
Not every fibroid requires surgery. Small or asymptomatic fibroids may sometimes be monitored through regular examinations and imaging. However, treatment may be considered when fibroids cause heavy menstrual bleeding, persistent pelvic pain or pressure, recurrent discomfort, fertility difficulties or significant enlargement of the uterus.
Ultrasound and, when required, MRI can help determine the number, size and precise location of fibroids. This information allows the gynaecologist to understand whether a fibroid is located within the uterine cavity, within the uterine muscle or on the outer surface of the uterus and select an appropriate treatment strategy.
The appropriate surgical technique depends on factors such as fibroid size, location, number, symptoms, previous surgeries and whether the patient wishes to preserve fertility.
Myomectomy:
A myomectomy removes fibroids while preserving the uterus. It may be considered for women who wish to retain their uterus or potentially plan a future pregnancy. Depending on the location and characteristics of the fibroid, myomectomy may be performed through laparoscopic, robotic or hysteroscopic techniques.
Hysteroscopic myomectomy:
When a fibroid projects into the uterine cavity, a hysteroscopic approach may allow the surgeon to access and remove it through the vagina and cervix without abdominal incisions.
Robotic myomectomy:
Robotic surgery can be considered for selected complex or difficult fibroids. The reference treatment page highlights the use of 3D visualisation and precise robotic instruments to assist with removal while aiming to preserve healthy uterine tissue.
Hysterectomy:
In selected patients who do not wish to preserve fertility, hysterectomy may be considered. This involves removal of the uterus and eliminates the possibility of future uterine fibroids. The decision depends on the patient’s age, symptoms, reproductive plans, medical history and clinical assessment.
Some fibroids require more specialised surgical planning. Large fibroids, multiple fibroids, cervical fibroids and broad-ligament fibroids can present additional technical challenges because of their size, location or proximity to important pelvic structures. Submucosal fibroids can also cause significant bleeding because they project into the uterine cavity.
Robotic technology may provide enhanced visualisation and instrument control in appropriately selected complex cases. However, the choice between robotic, laparoscopic, hysteroscopic or open surgery should be made after a detailed evaluation rather than based on the surgical method alone.