Fibroid Tumor Removal & Surgery | O&G Specialist Clinic

Understanding Surgical Options for Fibroid Treatment

When fibroids begin to cause persistent pain, heavy bleeding, or pressure symptoms, medical management may no longer be enough. In such cases, surgical intervention may be considered to help address the symptoms more effectively. At The O&G Specialist Clinic, we offer several approaches for the surgical removal of uterine fibroids, depending on the size, number, and location of the growths.

Procedures such as fibroid tumour removal or a fibroid operation can help improve the quality of life for women experiencing ongoing discomfort or disruption to daily activities. Our specialists will assess your condition carefully and discuss whether surgery is an appropriate option while also considering your future fertility plans or preferences for recovery. If you’re considering fibroid tumour removal, we’re here to support you with clear information and a personalised approach so that you can make an informed decision about your next steps.

When Is Fibroid Tumour Removal Necessary?

Fibroid tumour removal may be recommended when fibroids start to interfere with daily life. This could include symptoms such as heavy or prolonged menstrual bleeding, pelvic pain or pressure, frequent urination, or difficulty conceiving. If medication or non-surgical options have not provided relief, a fibroid operation may be considered. The decision to proceed with the surgical removal of uterine fibroids often depends on the size and number of fibroids, as well as your age, health goals, and plans for future pregnancy. A thorough consultation can help determine whether surgery is the most suitable next step.

Symptoms

How Uterine Fibroids Are Diagnosed

Uterine fibroids are sometimes found during routine check-ups, even when symptoms are not present. If fibroids are suspected, our specialist may recommend a range of diagnostic tools to confirm their presence, understand their size and location, and guide appropriate care.

Pelvic Examination:

A pelvic exam is often the first step in the process. During this process, our specialist gently examines the abdomen to assess the shape and size of the uterus. Any irregularities may indicate fibroids.

Ultrasound Scans:

Ultrasound imaging helps confirm the diagnosis and measure the size of fibroids. A transabdominal ultrasound scans through the abdomen, while a transvaginal ultrasound involves placing a probe inside the vagina for a closer view. We utilise these methods to map the number, size, and position of fibroids.

Laboratory Blood Tests:

If there is abnormal or heavy bleeding, blood tests may be done to check for anaemia, bleeding disorders, or thyroid issues. These results help provide a fuller picture of your condition.

Additional Imaging When Needed

If more detail is required, our specialist may recommend:

MRI: Offers clearer images of fibroid type and placement, especially useful in complex or larger cases.
Hysterosonography: Uses saline to expand the uterine cavity for more precise ultrasound imaging, especially helpful for fertility-related concerns.
Hysterosalpingography: Involves dye and X-rays to assess the uterus and fallopian tubes, often used if pregnancy is a goal.
Hysteroscopy: A small telescope is passed through the cervix, with saline added to allow direct viewing of the uterine lining.

Types of Operations for Uterine Fibroid Removal

When symptoms from fibroids become disruptive or persistent, surgical options may be considered to manage them more effectively. The type of procedure recommended often depends on your symptoms, age, fertility goals, and the size or location of the fibroids. Below are the main types of fibroid tumour removal procedures available, including minimally invasive and traditional approaches.

1. Non-Invasive Treatment: MRI-Guided Focused Ultrasound Surgery (FUS)

This outpatient procedure uses high-intensity ultrasound waves, guided by MRI imaging, to destroy fibroid tissue without making any incisions. While not suitable for all cases, this fibroid tumour removal method can be an option for those seeking to avoid surgery and preserve the uterus.

2. Minimally Invasive Procedures

These techniques use no or small incisions, allowing for quicker recovery and fewer complications compared to open surgery.

Uterine Artery Embolisation (UAE):

Embolic particles are injected into the arteries supplying the uterus, cutting off blood flow to the fibroids and causing them to shrink. This method is an alternative to a fibroid operation for those who prefer to avoid surgery.

Radiofrequency Ablation (Lap-RFA/Sonata):

Heat energy is used to shrink fibroids via laparoscopic or transcervical access. These procedures can reduce the size of fibroids and alleviate symptoms while preserving the uterus.

Laparoscopic or Robotic Myomectomy:

Involves the surgical removal of uterine fibroids using small abdominal incisions. Robotic systems provide a magnified 3D view, enabling surgeons to operate with enhanced precision.

Hysteroscopic Myomectomy:

Ideal for fibroids located inside the uterine cavity (submucosal fibroids). Instruments are passed through the cervix, and no external cuts are required.

Endometrial Ablation:

Destroys the uterine lining to reduce heavy bleeding. While not a method for direct fibroid removal, it can relieve fibroid-related bleeding. Pregnancy is not recommended after this procedure.

3. Traditional Surgical Procedures

Open surgeries involve larger incisions and are generally recommended for more complex cases.

Abdominal Myomectomy:

This fibroid operation involves removing fibroids through an open abdominal incision. It may be suggested if the fibroids are large, numerous, or deeply embedded.

Hysterectomy:

The complete surgical removal of the uterus. This is the only permanent solution for fibroids, but it ends fertility. It may be considered for individuals who have completed childbearing or for whom other treatments have not been effective.

Each method of surgical removal of uterine fibroids carries its own risks and benefits. Our specialist will discuss these options with you in detail, helping you choose the most appropriate treatment based on your health needs and personal preferences.

Risks and Complications of Uterine Fibroid Removal

While many people undergo fibroid tumour removal without significant issues, all surgical procedures carry some level of risk. The likelihood and type of complications often depend on the specific method of fibroid operation, as well as individual health factors. Whether you are considering minimally invasive treatment or the surgical removal of uterine fibroids through open surgery, it’s essential to be aware of potential risks before making a decision.

Anaesthesia-Related Risks:

As with any surgery, procedures for fibroid tumour removal that require general anaesthesia carry potential complications, such as breathing difficulties or reactions to medication.

Infection:

Post-surgical infections can occur at the incision site or internally. Early signs often include fever, pain, or unusual discharge and require prompt treatment.

Heavy Bleeding:

Some individuals may experience significant blood loss during or after the fibroid operation. In rare cases, a blood transfusion may be needed.

Damage to Surrounding Organs

During the surgical removal of uterine fibroids, there is a small risk of unintentional injury to nearby structures, such as the bladder, bowel, or blood vessels.

Incomplete Removal or Failed Surgery

There are instances where not all fibroids are successfully removed or symptoms persist. Additional procedures may be needed in such cases.

Fibroid Regrowth

Surgery removes existing fibroids, but it does not prevent new ones from forming. This is more common in people who retain their uterus after fibroid tumour removal.

Spread of Undiagnosed Cancer

In procedures that involve morcellation (breaking fibroids into smaller pieces), there is a rare risk of spreading undiagnosed cancerous cells. This is why certain surgical methods use containment systems or avoid morcellation entirely.

Moving Forward with Care and Clarity

Deciding how to approach fibroid treatment involves understanding your options and considering what aligns with your health and personal circumstances. For some, fibroid tumour removal may be appropriate when symptoms become difficult to manage. For others, a less invasive approach may be suitable. Whether you are exploring the possibility of a fibroid operation or simply want to understand more about the surgical removal of uterine fibroids, having access to clear, balanced information is key.

At The O&G Specialist Clinic, our gynae specialist will take the time to walk you through your concerns and help you make informed decisions at your own pace. If you’re ready to learn more or would like to discuss your symptoms, contact our gynae clinic in Singapore to arrange a consultation.

What to Expect From Fibroid Surgery

The type of fibroid operation recommended depends on the size, number, and location of your fibroids, as well as future fertility plans. Below are the common surgical options and what to expect after each:

Abdominal Myomectomy (Open Surgery)

Used for larger or numerous fibroids deep in the uterine wall. It involves an abdominal incision and usually requires a hospital stay. Recovery may take up to six weeks.

Laparoscopic or Robotic Myomectomy (Minimally Invasive)

Suitable for smaller or fewer fibroids. This minimally invasive method uses small incisions and offers a shorter recovery time of two to four weeks, with most patients returning home the same day.

Hysteroscopic Myomectomy (No External Cuts)

Recommended for fibroids inside the uterine cavity. The procedure is done through the vagina with no external cuts. Recovery is generally a few days.

Post-Surgery Recovery

Recovery time varies by procedure, but you may experience vaginal bleeding, discomfort, and fatigue. Avoid heavy lifting and sexual activity until advised otherwise. Follow-up care will be arranged to monitor healing and discuss next steps.

Frequently Asked Questions

Can fibroids interfere with getting pregnant?

Some fibroids may affect fertility by altering the shape of the uterus or interfering with implantation. The impact depends on their size, number, and location.

Should I consider fibroid removal if I’m planning to conceive?

Our specialist may recommend fibroid removal if it is believed to affect your ability to conceive or carry a pregnancy. This decision will be guided by your reproductive goals and the fibroid’s characteristics.

Is a fibroid operation considered major surgery?

The complexity of a fibroid operation depends on the method used. Open procedures, such as abdominal myomectomy, are more invasive and require longer recovery. Minimally invasive techniques like laparoscopic or hysteroscopic fibroid tumour removal generally involve smaller incisions and shorter downtime. Our specialist will advise on the most appropriate option based on your condition.

Can fibroids grow back after fibroid tumour removal?

Yes, it is possible for new fibroids to develop after fibroid tumour removal, especially if the uterus remains intact. While surgical removal of uterine fibroids addresses current growths, it does not prevent future ones. Ongoing monitoring can help detect any changes early and guide further care if needed.

Fibroid Tumor Removal in Singapore