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Suggest Treatment For Enlarged Uterus And Fibroids
Question: I have an enlarged uterous and fibroids. 3 fibroids in total. 2 of them are on the out side of the uterous the other in the floor of the uterous. I am trying to avoid a hysterectomy. What are my options if any?
I was wondering if there is an antiinfamatory I could take to reduce the inflamation. I was also wondering if the could just partially remove it 1/2, a 1/3. Is this a crazy thought. I do not wnat a total removal. I want to keep my cervix and falopian tubes intact. I heard they have injections to obliterate the fibroids that are done non invasively. Are any of these suggestions/ideas viable.
I was wondering if there is an antiinfamatory I could take to reduce the inflamation. I was also wondering if the could just partially remove it 1/2, a 1/3. Is this a crazy thought. I do not wnat a total removal. I want to keep my cervix and falopian tubes intact. I heard they have injections to obliterate the fibroids that are done non invasively. Are any of these suggestions/ideas viable.
Brief Answer:
HIFU can help.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The mainstay of treatment of symptomatic fibroids has been surgery, which could be either myomectomy (removal of the fibroid), or hysterectomy (removal of the uterus). Of these, only hysterectomy ensures that the patient will never suffer from fibroids again, but is a rather radical option for a benign tumour that only requires symptomatic relief. Also, a hysterectomy is followed by a lengthy recovery period before the patient returns to normal activities. Both hysterectomy as well as myomectomy can also be done laparoscopically (key-hole surgery), dramatically reducing the post- operative morbidity. However, even these are invasive techniques, and the risks and possible complications of surgery and anesthesia remain a constant threat.
MRI guided HIFU or Magnetic Resonance Imaging- guided High Intensity Focused Ultrasound is an innovative mode for genuinely non-invasive treatment of fibroids. Under MRI guidance, sound waves are passed into the body and focused into the fibroid to heat and coagulate the tissues.
The procedure is gaining wide acceptance because of the ease of use, exemplary safety and minimal disruption in the patients' daily routine. This is a day-care surgery, where the patient reports to the clinic for the procedure, undergoes the procedure and is able to walk out and go home after the procedure. The patient is able to go back to her regular routine within the next 24 hours, and the symptomatic relief obtained with this procedure is comparable to that following a myomectomy in the long term .
The patient is awake throughout the procedure and does not require any anaesthesia as there is minimal discomfort during the procedure. It is an out-patient procedure, where the patient walks in, undergoes preparation, treatment, is observed for a couple of hours, and is able to walk out comfortably. She can return to normal activities the next day. As the procedure is done under MRI guidance, there is absolutely no radiation involved.
The patient experiences relief from her symptoms by the next menstrual cycle, and the treated fibroid gradually shrinks in size over the next few months.
The success of the treatment is evaluated immediately after the treatment by performing a contrast enhanced MRI to delineate the ablated and the non-perfused volume.
As such, MRI guided HIFU satisfies the need for a non-invasive procedure that is a safe, gentle, and convenient way to provide long-lasting relief from the symptoms caused by uterine fibroids.
Please consider this information and make an informed choice after discussing with your Consulting Doctor.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
HIFU can help.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The mainstay of treatment of symptomatic fibroids has been surgery, which could be either myomectomy (removal of the fibroid), or hysterectomy (removal of the uterus). Of these, only hysterectomy ensures that the patient will never suffer from fibroids again, but is a rather radical option for a benign tumour that only requires symptomatic relief. Also, a hysterectomy is followed by a lengthy recovery period before the patient returns to normal activities. Both hysterectomy as well as myomectomy can also be done laparoscopically (key-hole surgery), dramatically reducing the post- operative morbidity. However, even these are invasive techniques, and the risks and possible complications of surgery and anesthesia remain a constant threat.
MRI guided HIFU or Magnetic Resonance Imaging- guided High Intensity Focused Ultrasound is an innovative mode for genuinely non-invasive treatment of fibroids. Under MRI guidance, sound waves are passed into the body and focused into the fibroid to heat and coagulate the tissues.
The procedure is gaining wide acceptance because of the ease of use, exemplary safety and minimal disruption in the patients' daily routine. This is a day-care surgery, where the patient reports to the clinic for the procedure, undergoes the procedure and is able to walk out and go home after the procedure. The patient is able to go back to her regular routine within the next 24 hours, and the symptomatic relief obtained with this procedure is comparable to that following a myomectomy in the long term .
The patient is awake throughout the procedure and does not require any anaesthesia as there is minimal discomfort during the procedure. It is an out-patient procedure, where the patient walks in, undergoes preparation, treatment, is observed for a couple of hours, and is able to walk out comfortably. She can return to normal activities the next day. As the procedure is done under MRI guidance, there is absolutely no radiation involved.
The patient experiences relief from her symptoms by the next menstrual cycle, and the treated fibroid gradually shrinks in size over the next few months.
The success of the treatment is evaluated immediately after the treatment by performing a contrast enhanced MRI to delineate the ablated and the non-perfused volume.
As such, MRI guided HIFU satisfies the need for a non-invasive procedure that is a safe, gentle, and convenient way to provide long-lasting relief from the symptoms caused by uterine fibroids.
Please consider this information and make an informed choice after discussing with your Consulting Doctor.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by :
Dr. Yogesh D
I am interested to know if only 1/2 of the uterus can be removed. My uterus is inflamed and protrudes making look as if I have a pot belly. It is also can obstruct some normal movements like raising my leg to my chest to put on shoes without sitting. It is almost to the point were I am unable to suck it in. Is there something else I can consider.
How does HIFU reduce the size of my enlarged/inflamed uterus. what does it generally costs for a procedure like this. When I googled this procedure it is mainly used for cancer tumors or prostate.
How does HIFU reduce the size of my enlarged/inflamed uterus. what does it generally costs for a procedure like this. When I googled this procedure it is mainly used for cancer tumors or prostate.
Brief Answer:
Partial removal will not help much.
Detailed Answer:
Hello.
Thanks for writing again.
It is better to remove a complete uterus as the uterus is inflamed and grossly enlarged in your case. HIFU is used only in non cancerous lesions like benign fibroids. The cost depends on size of lesions and number of sittings needed. But the relief will be there for 2-3 years only. The fibroids can grow again and overall inflamed size of uterus will not be controlled with it.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Partial removal will not help much.
Detailed Answer:
Hello.
Thanks for writing again.
It is better to remove a complete uterus as the uterus is inflamed and grossly enlarged in your case. HIFU is used only in non cancerous lesions like benign fibroids. The cost depends on size of lesions and number of sittings needed. But the relief will be there for 2-3 years only. The fibroids can grow again and overall inflamed size of uterus will not be controlled with it.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
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