Uterine fibroids* are benign (non-cancerous) tumors occurring in at least one quarter of all women.1 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.2
Treatments include uterine fibroid embolization – which shrinks the
tumor – and surgery. Surgical treatment for uterine tumors most often
involves the surgeon removing the entire uterus, via hysterectomy.3
While hysterectomy is a proven way to resolve fibroids, it may not be
the best surgical treatment for every woman. If, for example, you hope
to later become pregnant, you may want to consider alternatives to
hysterectomy like myomectomy. Myomectomy is a uterine-preserving
procedure performed to remove uterine fibroids.
Types of Myomectomy
Each year, roughly 65,000 myomectomies are performed in the U.S.4 The conventional approach to myomectomy is open surgery, through a large abdominal incision.5
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.
Menorrhagia is extensive menstrual bleeding.
While myomectomy is also performed laparoscopically, this approach
can be challenging for the surgeon, and may compromise results compared
to open surgery.6 Laparoscopic myomectomies often take longer
than open abdominal myomectomies, and up to 28% are converted during
surgery to an open abdominal incision.7
A new category of minimally invasive myomectomy, da Vinci®
Myomectomy, combines the best of open and laparoscopic surgery. With the
assistance of the da Vinci Surgical System – the latest evolution in
robotics technology – surgeons may remove uterine fibroids through small
incisions with unmatched precision and control.
Learn more
If you would like to explore whether you are a candidate for myomectomy, ask your doctor.
* Uterine fibroids are also called fibroids, uterine tumors,
leiomyomata (singular – leiomyoma) and myomas or myomata (singular –
myoma)
1.Newbold RR, DiAugustine RP, Risinger JI, Everitt JI, Walmer DK,
Parrott EC, Dixon D. Advances in uterine leiomyoma research: conference
overview, summary, and future research recommendations. Environ Health
Perspect. 2000 Oct;108 Suppl 5:769-73. Review.
2.National Institutes of Health: Fast Facts about Uterine Fibroids.
3.Becker ER, Spalding J, DuChane J, Horowitz IR. Inpatient surgical
treatment patterns for patients with uterine fibroids in the United
States, 1998-2002. J Natl Med Assoc. 2005 Oct;97(10):1336-42.
4.Lumsden MA.Embolization versus myomectomy versus hysterectomy: Which is best, when? Hum Reprod. 2002; 17:253-259. Review.
5.Becker ER, Spalding J, DuChane J, Horowitz IR. Inpatient surgical
treatment patterns for patients with uterine fibroids in the United
States, 1998-2002. J Natl Med Assoc. 2005 Oct;97(10):1336-42.
6.Kristen A. Wolanske, MD; Roy L. Gordon, MD. Uterine Artery
Embolization: Where Does it Stand in the Management of Uterine
Leiomyomas? Part 2. Appl Radiol 33(10):18-25, 2004. Medscape.10/27/2004.
7.Advincula AP, Song A, Burke W, Reynolds RK. Preliminary experience
with robot-assisted laparoscopic myomectomy. J Am Assoc Gynecol
Laparosc. 2004 Nov;11(4):511-8.
While clinical studies support the effectiveness of the da Vinci®
System when used in minimally invasive surgery, individual results may
vary. Surgery with the da Vinci Surgical System may not be appropriate
for every individual. Always ask your doctor about all treatment
options, as well as their risks and benefits. For additional information
on minimally invasive surgery with the da Vinci® Surgical System visit www.davincisurgery.com