When Can Uterine Fibroids Be Removed Without Traditional Open Surgery?

For women with uterine fibroids, a common question is whether the growths can be removed through a minimally invasive procedure rather than traditional open surgery. The answer depends on the fibroids’ size, number and location, as well as the patient’s health and treatment goals.

Fibroids that project into the uterine cavity may be suitable for hysteroscopic removal, in which a thin viewing instrument is passed through the cervix without abdominal incisions. In selected cases, fibroids elsewhere in the uterus can be removed laparoscopically, using a camera and surgical instruments inserted through small abdominal cuts.

These approaches are not suitable for every patient. Large, numerous or difficult-to-access fibroids may make open surgery more appropriate. Preserving the uterus and plans for a future pregnancy are also important considerations when choosing treatment.

Not all fibroids require removal. A gynecological assessment and imaging can help determine whether treatment is needed and which approach is suitable, taking account of symptoms such as heavy bleeding or pelvic pressure.