Treatment of uterine fibroids in Minsk

By location, the fibroid nodes are divided into subserous (on a wide base, on the leg), intramural (intramuscular), submucous (intramucosal).

The most common symptoms of uterine fibroids are menstrual irregularities (massive long menstruation), secondary iron deficiency anemia. Other symptoms (pelvic pain, painful menstruation, dysfunction of the pelvic organs) also reduce the quality of life and fertility.

The complications of uterine fibroids include: malnutrition of the node, birth of a submucous node, bleeding, malignant metamorphosis.

When making a diagnosis of uterine fibroids, it is mandatory to perform an ultrasound investigation of the pelvic organs, conduct a diagnostic examination (separate diagnostic curettage of the cervical canal and uterine cavity, hysteroscopy).

DETAILED TREATMENT PROGRAM

1 day (arrival, doctor’s appointment, delivery of medical tests, hospitalization)

The obstetrician-gynecologist examines the patient, collects material for analysis.

Passing the investigation program:

1. General blood analysis
2. General urine analysis
3. Blood test for syphilis
4. Cervical and urethral swabs
5. Determination of blood type and Rh-factor
6. Blood chemistry
7. Coagulogram (investigation of hemostasis condition).
8. Test on flora and sensitivity to antibiotics from the vagina, test of urine (preferably to have it on hand, the analysis should be no more than 2 weeks old)
9. ECG
10. Pelvic ultrasound investigation
11. Fluorography

In the absence of pathology and deviations from the norm in the results of the examination, the female patient is hospitalized for surgery.

2 day (operation)

Preparing the patient for operation. The operation.

3 day (treatment)

Examination of the patient. The patient receives the necessary treatment (drugs, physiotherapy according to indications).

4 day (discharge)

Examination of the patient. The head of the department gives the necessary recommendations. Registration of discharging documents. Assigning the date and time of the next patient visit to the clinic (if necessary). Organization of transfer to the hotel (if necessary).

The described surgical treatment program may vary depending on the individual health status of each woman in consultation with a medical specialist. Medical treatment of uterine fibroids, surgical treatment (organ-preserving or radical) are possible.

Radical treatment in the amount of hysterectomy is carried out in case of a large uterus, ineffectiveness of conservative treatment, recurrence of fibroids, taking into account the presence of concomitant diseases, and the age of the female patient. Currently, female patients prefer to avoid removal of the uterus and maintain the fertility and femininity with which they associate this organ.

Surgical organ-preserving treatment of patients with uterine fibroids is performed by conservative myomectomy, laparotomic, laparoscopic, hysteroscopic, transvaginal methods, as well as using uterine artery embolization and other regression interventions conducted under radiological control.

The optimal treatment method in each case will be offered to you during a consultation with highly qualified obstetrician-gynecologists when contacting the healthcare institution «City Gynecological Hospital», taking into account individual characteristics and clinical examination data.