Fibroids

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. The following diagram depicts different types of fibroids that can occur.

Surgical treatment for uterine tumors most often involves the surgeon removing the entire uterus via hysterectomy. While hysterectomy is a proven way to resolve fibroids, it may not be the best treatment for every woman.If you have the desire to preserve your uterus but not necessarily fertility, there are a number of prescription drug treatments that can help to stop continued fibroid growth or even shrink them. If 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. Common treatment options for uterine fibroids include:

*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.

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.

Each year, roughly 65,000 myomectomies are performed in the U.S.1 The conventional approach to myomectomy is open surgery, through a large abdominal incision.2After 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.

While myomectomy is also performed laparoscopically, this approach can be challenging for the surgeon, and may compromise results compared to open surgery.3Laparoscopic myomectomies often take longer than open abdominal myomectomies, and up to 28% are converted during surgery to an open abdominal incision.4Myomectomy can be a uterine-preserving alternative to open abdominal hysterectomy.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. Among the potential benefits of da VinciMyomectomy as compared to traditional open abdominal surgery are:

  • Opportunity for future pregnancy
  • Significantly less pain
  • Less blood loss
  • Fewer complications
  • Less scarring
  • A shorter hospital stay
  • A faster return to normal daily activities

da Vinci Myomectomy is performed with the da Vinci Surgical System, which allows your surgeon to perform a minimally invasive, yet remarkably precise, comprehensive reconstruction of the uterine wall, regardless of the size or location of your fibroids. The unique level of control and precision provided by da Vinci also can help your surgeon give the most precise and thorough reconstruction possible, helping to prevent possible uterine rupture (tearing) during future pregnancies.

As with any surgery, these benefits cannot be guaranteed, as surgery is both patient- and procedure-specific. While myomectomy performed using the da Vinci Surgical System is considered safe and effective, this procedure may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

* Uterine fibroids are also called fibroids, uterine tumors, leiomyomata (singular – leiomyoma) and myomas or myomata (singular – myoma)1. Lumsden MA. Embolization Versus Myomectomy Versus Hysterectomy: Which is Best, When? Hum Reprod. 2002; 17:253-259. Review.

2. 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.

3. Wolanske KA, Gordon, RL. 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.

4. 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.

davincisurgery.com/gynecology/conditions/uterine-fibroids/myomectomy/

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