I recently had a patient in the office with very large fibroids…she had had two previous myomectomies with her gynecologist and she was wondering why her tumors had returned. Sadly, the recurrence rates for fibroid tumors following surgery can be as high as 60%…the well known fact is that most of these tumors have not grown back since surgery, but were never removed during the inital procedures. Fibroids that are deep in the uterine muscle are difficult to access without significant blood loss…as a result, many gyns will not remove the deeper tumors. This sets women up for multiple fibroid tumor surgeries. Our recurrence rates are approximately 2%, as we are able to remove all fibroids, regardless of size or location (submucosal, subserosal) employing vascular techniques that prevent bleeding. If you are considering a myomectomy ask your doctor about their success rates, in reference to minimizing the need for future surgery.
Fibroids,also known as myomas or leiomyomas, are noncancerous tumors of the uterus. They are strictly found in and around the uterus, nowhere else in the pelvis. There are several common types based on location: Pedunculated, Subserosal, Submucosal and Intramural. Pedunculated tumors are attached to the uterus with a stalk and free float in the abdomen or the endometrial cavity. They are not within the muscle of the uterus. Subserosal are those tumors just beneath the outer surface of the uterus. Submucosal are tumors deep within the muscular layer of the uterus and often are adjacent to and impinge on the endometrial lining. Finally, Intramural myomas are found deep within any area of the uterine muscle. All can be successfully removed with our surgery.