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What size of uterine fibroids needs hysterectomy surgery?

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Uterine  fibroids are a common uterus related issue that many women face in their childbearing age. These fibroids disturb the menstrual cycle and cause symptoms like severe cramps, heavy bleeding, back ache and weight gain. The symptoms are problematic enough to cause physical and mental distress. 

The size of uterine fibroids can vary from microscopic to larger than even a grapefruit. However, not all fibroids require surgery (hysterectomy), until they cause severe symptoms or increase the risk of any complications. 

If the type of the fibroid is submucosal (fibroids growing just below the inner lining of the uterus), it can bulge into the uterus and even small submucosal fibroids can cause the uterus shape to distort. This can lead to fertility problems and thus it is better to undergo proper treatment before the condition worsens. 

Size of uterine fibroids that require hysterectomy

Uterine fibroids of 4 inches (9-10 cm) or larger in size must be treated through surgery immediately. It is almost like the average size of a plum or an orange. According to gynecologists it is the largest size for a fibroid and requires immediate treatment. Also, such large fibroids exert pressure on the blood vessels in the pelvis and thus are associated with a condition in which blood clots develop near the lungs (Pulmonary Embolism). This condition can have life-threatening implications and thus if the fibroid is larger than 10 cm, the woman must undergo hysterectomy as soon as possible. 

Note– Fibroids smaller than 10 cm in size can be removed through myomectomy but the risk of recurrence is very high. Also, if multiple fibroid clusters are present, myomectomy may fail to bring the desired result. Therefore, if the fibroids are recurrent or clustered, hysterectomy is the best surgical solution for permanent relief . 

Why should you not delay hysterectomy surgery for large uterine fibroids?

If your doctor suggests undergoing hysterectomy for uterine fibroids, it is quite risky to delay or avoid hysterectomy. Delayed treatment can lead to the rapid growth of the fibroids and this may aggravate the symptoms like menstrual bleeding and pain. 

Moreover, large fibroids can twist over time. This is not only painful but can also lead to blockage of blood vessels in the uterus. Additionally, excessive menstrual bleeding due to fibroids can be a major risk factor for anemia. 

Large fibroid growths in the uterus can cause expansion of the uterus and consequently the abdomen. As a result, the reproductive tract may get inflamed and this increases the risk of vaginal and reproductive tract infections. 

Furthermore, in severe cases, large or multiple fibroids can also result in uterine prolapse as well. It is a condition in which the pelvic floor muscles and ligaments weaken and are unable to firmly hold the uterus in place. As a consequence, some parts of the uterus can push through these muscles and distend out of the vagina. 

By looking at these complications, it must have become to you as to why hysterectomy is necessary. 

Over the past few years, the techniques for hysterectomy have evolved a lot and the most advanced hysterectomy technique available nowadays is laparoscopic hysterectomy. The modern laparoscopic hysterectomy offers complete and permanent relief from fibroids in a minimally invasive and painless manner. The procedure is simpler than open surgery and offers a speedy and smooth recovery. 

Other benefits of laparoscopic hysterectomy are:

  • Nil chances of postoperative complications
  • Does not require bed rest for long weeks
  • Allows the patient to resume work in 2-3 days
  • No bleeding or infections (vaginal/abdominal)
  • Negligible risk of vaginal laceration
  • No blood clots after the surgery
  • Zero chances of small bowel prolapse (enterocele) after surgery

If you are looking for a reliable healthcare provider for hysterectomy surgery, you can contact Pristyn Care. They are one of the fastest growing healthcare chains in India and are associated with the best gynecologists and laparoscopic surgeons for uterine fibroid treatment. You can easily book an appointment through their website to get expert consultation for your problem. 

Take Away

Hysterectomy becomes an unavoidable medical intervention in case of large uterine fibroids.

Going for any surgery can be a difficult decision to make. But it is always better to maintain a proactive approach towards health and not delay the recommended treatment if the condition has the potential to cause serious complications. So, only choose a certified and experienced surgeon for a seamless uterus removal surgery. 

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