What is a fibroid?
Myoma is a tumor that originates from the uterine muscles and grows into or out of the uterus. The answer to the question What causes uterine fibroids is not clear. Myoma is benign. It is the most common condition in women, having it in almost one in five women, most often seen in women of reproductive age, ages 15-45.
Myoma treatment
It is very important to determine the patient's fibroid size, location in the uterus and the type of myoma before fibroid surgery. For this, ultrasound and magnetic resonance (MR examination) are used.
What are the Symptoms of Myoma?
●Irregular menstruation, excessive menstrual bleeding, non-stop menstruation, intermittent bleeding, prolonged spotting at the beginning of menstruation
strong>●Pain, groin pain (chronic pelvic pain), abdominal pain, pain during menstruation (dysmenorrhea), pain during intercourse (dyspareunia)
●Urinary incontinence is seen when the fibroid presses the bladder
●Constipation, pain and strain may occur while using the large toilet. Myoma can cause gas, fibroids pressing on the intestines can cause gas compression behind.
●Infertility
Fibroids symptoms in singles
Same as married women who have given birth, I mentioned above Complaints also apply to singles.
Myoma Can Cause Infertility
Myoma can disrupt the structure of the uterus, can be found in the uterus where the baby will settle, cause miscarriage, ovary and tube It can interfere with fertilization and prevent fertilization, thus causing infertility.
Myoma is Benign…
Myomas are benign, rarely becomes cancerous. The only difference with a sign of cancerous fibroids is rapid growth of the fibroid. If a palpable fibroid mass in the abdomen is rapidly enlarging, or if the ultrasound If the diameter of the fibroid grows rapidly within months during follow-up, cancer may be suspected.
How to Follow Myoma, What Should Be Considered?
Fibroids most of the fibroids do not cause any complaints, they are noticed by chance, on ultrasound performed for other reasons. Myoma follow-up, is done every 3 months, If the myoma does not enlarge and there is no complaint, it is continued with 6-month and annual follow-ups. If the patient begins to have bleeding, pain, urinary incontinence, bloating, pain in intercourse and infertility, surgical fibroid surgery may be required. Myoma surgery can be performed with laparoscopy, ie closed myoma surgery. For closed myoma surgery, the fibroid must be of a certain size and in a suitable location in the uterus.
What are the types of fibroids according to the location? strong>
●Intramural fibroids are fibroids located within the uterine muscle. They grow inside the uterus or out of the uterus. If it grows into the inner lining of the uterus, it can prevent pregnancy from occurring, or cause an ongoing pregnancy to result in miscarriage. Especially in miscarriages after three months, myoma should be suspected.
●Submucosal fibroids are fibroids on the inner lining of the uterus that grow into the uterine cavity. Infertility and cause of miscarriage< They can be /strong>. They are taken with a camera system called Hysteroscopy by intervention from below. In order to be removed from below, it must have grown into the uterine cavity and not against the uterine wall. Submucosal fibroids, more than 50% of which extend into the uterine cavity, can be removed by hysteroscopy. If they are deeper, within the musculature of the uterus, they are removed by laparoscopy.
●Subserosal fibroids are fibroids that grow from the muscle layer outside the uterus into the abdominal cavity. These are the fibroids type that cause the least complaints. They can be stalked, they can be of very large sizes.
●Cervical fibroids are fibroids that are located in the cervix and have grown into the vagina.
Myoma Treatment
Myoma treatment, with open surgery and closed surgery is done. I perform closed myoma surgery with my experienced team. Before the surgery, the location of the fibroid is determined clearly by ultrasound and MRI examination. Since it will be a uterus-sparing operation, the results of the analysis are important that there is no risk of cancer in the uterus. Fibroids are benign, the risk of becoming cancerous is one in 1000.
How is Closed Myoma Surgery Performed?
In closed myoma surgery, the patient is put to sleep with general anesthesia. By entering through the navel, the inside of the abdomen is seen with a camera system, uterus and fibroid location are detected. By opening 2 or 3 holes in the groin area, The necessary tools for fibroid surgery are placed. The fibroid is removed from these holes with a special laparoscopy device. With laparoscopy, that is, closed surgery, the hospital stay is very short, the patient can stay overnight, and sometimes even be discharged on the same day. After closed surgery, the patient can take fluids, drink water, eat food, have less pain, and walk very early within 2-3 hours.
In open myoma surgery, regional anesthesia, which we call epidural, can be applied by numbing the waist. General anesthesia can also be given according to the patient's request and clinically necessary conditions. In open surgery, there is a small incision in the lower abdomen, the hospital stay may be 1-2 days, mobility and eating are usually after 6-8 hours. Very strong painkillers are applied with the waist catheter system, in this way the patient almost does not feel pain.
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