What Is the Process for Fibroid, Polyp, Cyst or Mass Surgeries?

Uterine Fibroids Leiomyomas

Reproductive surgery for fibroids is undertaken to resolve symptoms such as continuous or irregular bleeding, pelvic pain, or fibroids that are submucosal and can and lead to infertility or recurrent miscarriages. Surgery is typically performed with a laparotomy, in which a small incision is made around the bikini line and individual fibroids are excised. Every effort is made to remove all the palpable fibroids, but we may not detect small fibroids that are deep in the muscle of the uterus. Laparotomy will require 1-2 days of hospital stay, and most patients can return to work after 1-2 weeks.

Minimally invasive laparoscopy can be utilized to remove fibroids that are easily accessed and do not require extensive repair of the endometrial cavity.

Uterine Polyps

Reproductive surgery for uterine polyps is usually performed with the aid of hysteroscopy. This procedure is performed with intravenous sedation while a small camera is inserted through the vagina into the cervical canal, so the polyps can be visualized and excised. Most patients recover quickly and can resume their normal activities the next day.

Ovarian Cysts or Masses

Ovarian cysts are fluid-filled sacs or pockets within or on the surface of an ovary. The cysts can contain clear fluid, blood (hemorrhagic cyst), or old blood (endometrioma).

Many women have ovarian cysts at some point during their lives. Most ovarian cysts present little or no discomfort and are harmless. The majority of ovarian cysts disappear within a few months without treatment.

A large ovarian cyst can cause abdominal discomfort. If a large cyst presses on your bladder, you may feel the need to urinate more frequently due to reduced bladder capacity.

The Symptoms of Ovarian Cysts Include:

Menstrual irregularities
Pelvic pain: a constant or intermittent dull ache that may radiate to your lower back and thighs
Pelvic pain shortly before the beginning or end of your period
Pelvic pain during intercourse (dyspareunia)
Pain during bowel movements or pressure on your bowels
Nausea, vomiting, or breast tenderness similar to that experienced during pregnancy
Fullness or heaviness in your abdomen
Pressure on your rectum or bladder that causes a need to urinate more frequently or difficulty emptying your bladder completely

Treatment of Ovarian Cysts:

If ovarian cysts do not resolve, surgical therapy with the aid of laparoscopy can help. This is an outpatient procedure that may take 1-2 hours, during which the cyst wall is opened, and the capsule of the cyst is excised.