Urology treats urinary tract diseases in all genders and male reproductive issues, covering the kidneys, bladder, prostate, urethra, from infections to complex cancers.
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The management of uterine fibroids at Liv Hospital is highly personalized. We adhere to a “patient-centered” philosophy in which treatment choice is guided by the severity of symptoms, the patient’s age, the size/location of the tumors, and, most importantly, her reproductive goals. The treatment spectrum ranges from expectant management to definitive surgery.
For asymptomatic women or those with mild symptoms and small fibroids, active surveillance is the standard of care. Fibroids are benign, and treatment is not mandatory solely due to their presence. This involves annual pelvic exams and ultrasounds to monitor growth rates. Since fibroids naturally regress after menopause, many peri-menopausal women can be managed expectantly until their symptoms resolve naturally.
Medications cannot “cure” fibroids (remove them), but they can manage symptoms, correct anemia, and temporarily reduce tumor volume.
For symptomatic fibroids unresponsive to medication, or where fertility is compromised, surgery remains the definitive treatment.
Myomectomy (Uterine Preservation)
This is the surgical removal of fibroids (enucleation) while reconstructing and preserving the uterus. It is the procedure of choice for women who wish to conceive or preserve their uterus for personal reasons.
Hysterectomy (Definitive Cure)
The surgical removal of the uterus. It is the only treatment that guarantees 100% cure with zero risk of recurrence. It is an option for women who have completed their family and desire a permanent solution to bleeding and bulk symptoms.
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Myomectomy removes clinically visible fibroids but does not alter the underlying genetic or hormonal drivers of the disease. Therefore, new fibroids can grow from microscopic seeds. The recurrence rate is approximately 15-30% over 5-10 years, with higher risks in younger women and those with multiple fibroids.
While pregnancy is biologically possible after UAE, data suggest it is associated with a higher risk of complications such as miscarriage, malpresentation, preterm birth, and postpartum hemorrhage compared to myomectomy. Therefore, surgical removal (myomectomy) is generally the preferred standard for women actively desiring future fertility.
The robotic system offers superior precision. In myomectomy, the most critical step is reconstructing the uterine wall. The robot allows the surgeon to suture with the same strength and precision as open surgery but through tiny incisions, combining the safety of a laparotomy with the recovery speed of laparoscopy.
A hysterectomy removes the uterus, which stops menstruation and the ability to carry a child. However, if the ovaries are left in place (ovarian conservation), they continue to produce estrogen and progesterone, so the patient does not enter menopause until the natural age (around 51).
UAE is typically performed under local anesthesia and moderate sedation. The procedure itself takes about 60 to 90 minutes. However, patients usually require an overnight hospital stay for pain management, as the degeneration of the fibroids can cause significant cramping in the first 24 hours.
Robotic hysterectomy is a new way to treat gynecological issues. A big worry for patients is how long it takes to get better. Studies show
Did you know that nearly 600,000 women in the United States undergo hysterectomy every year? This surgery removes the uterus and is a common treatment
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