Uterine Fibroids Treatment
Uterine fibroids are benign (non-cancerous) tumors occurring in at least one quarter of all women. They can grow underneath the uterine lining, inside the uterine wall or outside the uterus. Many women don’t feel any symptoms with uterine tumors or fibroids. But for others, these fibroids can cause excessive menstrual bleeding (also called menorrhagia), abnormal periods, uterine bleeding, pain, discomfort, frequent urination and infertility. The following diagram depicts different types of fibroids that can occur.
Surgical treatment for uterine fibroids can include either a myomectomy (removal of fibroids) or a hysterectomy (removal of entire uterus). While hysterectomy is a proven way to resolve fibroids, it is not always necessary and is not an option for those who wish to preserve their fertility.
Nonsurgical treatments are sometimes suggested for the treatment of fibroid problems. These may include Uterine Artery Embolization (UAE), MR Guided Focused Ultrasound (MRfgUS) or endometrial ablation. These treatments SHOULD NOT be performed in patients wishing to have future children. They can lead to infertility and increase the chances of serious complications should pregnancy occur. The only treatment for fibroids for women who which to conceive is through a Myomectomy.
Each year, roughly 65,000 myomectomies are performed in the U.S. The conventional approach to myomectomy is open surgery, through a large abdominal incision. After cutting around and removing each uterine fibroid, the surgeon must carefully repair the uterine wall to minimize potential uterine bleeding, infection and scarring. Proper repair is also critical to reducing the risk of uterine rupture during future pregnancies. Open myomectomies are not practically obsolete and rarely ever required to treat fibroids. Drawbacks to the open technique are a prolonged hospitalization, pain, and recovery, as well as the formation of significant scar tissue which lead to fertility problems by affecting and damaging the fallopian tubes.
While myomectomy can performed through standard laparoscopy, this approach can be challenging and limits the treatment to only a few smaller fibroids. Many times all of the fibroids are not fully addressed. With the use of the da Vinci Robotic Surgical System, the benefits of both an open and laparoscopic surgical route are combined, allowing treatment of multiple and large fibroids while offering the fast recovery of standard laparoscopy.
Why have a Robotic assisted Laparoscopic Myomectomy?
Very simply stated, it is in your best interest. If you are facing a myomectomy, you need to know all of the options available to you in order to make a sound decision. An open procedure (laparotomy) is rarely needed for a myomectomy. FIRM, Dr. Duffy has been able to perform 96% of all myomectomies laparoscopically. In the few exceptions where a patient had an open procedure, each patient had over 35 fibroids removed. Size does not limit their removal, and Dr. Duffy has treated them with a uterine size up to that of a 26 week pregnancy (fibroids approximately the size of a soccer ball). The only limitation to laparoscopic removal has been fibroid number, but Dr. Duffy frequently has patients with up to 15-20 fibroids removed. Size of fibroids has never required an open case. There is a near zero chance of needing a hysterectomy at the time of the procedure.
Why choose Dr. Daniel Duffy from the FIRM?
Unlike many gynecologists, Dr. Duffy focus is in the field of fertility. Fibroids can easily be removed, but reconstructing the uterus so that it can be functional in the future is where experience comes into play. Dr. Duffy is the only reproductive surgeon in the region who was fellowship trained in the use of the da Vinci Robotic Surgical System. He performs more robotic myomectomies than any other surgeon in the Southeast US, typically performing 10-12 cases per month. Over 95% of these have been done as outpatient, with the patient going home the same day of surgery. He also serves as a proctor (instructor) to other physicians in the area on the use of the da Vinci Robotic System.
What patients are saying about Dr. Daniel Duffy:
If you are interested in setting up a consult with Dr. Duffy regarding a myomectomy, please call our office at 904-399-5620. Dr. Duffy sees patients at all of our Jacksonville locations (Downtown, South, and Beaches) as well as in our Georgia offices in Valdosta and Albany.