Surgical management of uterine fibroids

Author:

Lazaridis Alexandros1,Hirsch Martin2,Pistofidis George3,Odejinmi Funlayo4

Affiliation:

1. Second Department of Obstetrics and Gynecology, ‘Aretaieion’ Hospital, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece

2. Oxford Endometriosis CaRe Centre, Nuffield Department of Women's & Reproductive Health, University of Oxford, Oxford, UK

3. Lefkos Stavros, The Athens Clinic, Athens, Greece

4. Whipps Cross Hospital, Barts Health, NHS Trust, Leytonstone, London, UK

Abstract

Purpose of review Fibroids are benign pelvic masses and constitute the most common gynaecological condition. They create a significant health and social burden to many women because of heavy menstrual bleeding and fibroid pressure symptoms. Many women will be faced with the dilemma of surgical management to improve their symptoms at some point of their reproductive age. The aim of this article is to identify current surgical management of fibroids describing the technical steps, advantages, disadvantages and risks of each method. Recent findings The surgical management of fibroids remains challenging, as the overall prevalence, the clinical experience and the patient awareness is increasing because of an upgrade in our sonographic and magnetic resonance diagnostic tools. Unfortunately not every patient is able to benefit from tailor-made surgery that holistically evaluates individual needs including fertility aspirations. Summary This article provides the most current synopsis of every available surgical modality for fibroid management. Large prospective multicentre cohort studies are needed to definitely determine the most suitable operation for any individual suffering with fibroids; and perhaps artificial intelligence may offer a valuable tool in the future data analysis.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Obstetrics and Gynecology

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