Myoma enucleation: peeling out fibroids outside the uterus

Fibroids can cause a lot of bleeding and painful symptoms, which hinders the woman’s functioning. In addition, it can have a major influence during pregnancy. It is therefore necessary to treat or surgically remove the growths. What does myoma enucleation entail and how can it lead to adhesions or sometimes the removal of the uterus?

Myoma menucleation

  • What are fibroids?
  • Consequences of fibroids
  • Myoma enucleation and abdominal surgery
  • Removal of uterus
  • Adhesions and pregnancy
  • Caesarean section necessary

What are fibroids?

Adhesions may occur on the uterine wall, which grow as branches. The size can vary from a few millimeters to centimeters. Growth is additionally stimulated by a high estrogen level, such as during pregnancy. This condition often applies before or during the first pregnancy. Because the condition is fragile and can assume a large size, it can cause a lot of inconvenience. In addition, it can also grow outside the uterus, causing problems in the vagina. How can enucleation help to remove the adhesions and what are the consequences?

Consequences of fibroids

Because the fibroids are relatively brittle, there is a chance that it will break. This causes bleeding, which also occurs outside menstruation. In other words, the woman may lose a lot of blood and experience pain. If the woman also becomes pregnant, it can make implantation more difficult, and it also puts extra pressure on the pregnancy. Due to estrogen, the condition grows rapidly in size, causing the unborn child to experience too much discomfort. So it can lead to a miscarriage.

Myoma enucleation and abdominal surgery

To remove an enlarged ovary or fibroids, an incision is made in the abdominal wall just behind the cervix. The fibroids are gradually peeled out through that opening. This is only possible if the fibroids are relatively small in size, or if they are stalk-like, loose fibroids. In that case, the tissue can be scraped from the uterine wall, as it were. During this procedure the woman may experience a lot of blood loss. A blood transfusion will often be necessary to compensate for the blood loss.

Removal of uterus

It is possible that the bleeding during the procedure is so intense that life is potentially at risk. In that case, if there is too much blood loss, the uterus will have to be removed. Naturally, this procedure is only carried out in the most urgent circumstances, because it saves lives. So, before the procedure, obtain detailed information about the chances of success of the procedure.

Adhesions and pregnancy

Because myomas have been scraped away, scar tissue can develop, causing adhesions. It means that normally separated tissue sticks together and grows together. It can cause significant pain, especially when the woman is menstruating. In addition, it also poses a problem when becoming pregnant. The uterine wall is damaged after the procedure, and adhesions can prevent proper implantation of a fertilized egg. In other words, the woman’s fertility may decrease due to enucleation.

Caesarean section necessary

If the uterine wall is opened during the procedure, a relatively large amount of damage has been caused. Adhesions and scar tissue after the procedure also affect the functioning of the uterus. However, if the woman has become pregnant and the contractions start, a caesarean section is always performed. This is to protect the child, but also the woman.

Always be informed about the consequences of myoma enucleation and also inquire about the alternatives. Consider taking progestins or applying emobilization.

read more

  • Lots of blood loss, abdominal pain during menstruation: fibroid myoma
  • Embolization: closing blood vessels, fibroids, infertility