How is uterine fibroid surgery performed?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on February 07, 2025
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When a woman has uterine fibroids, the surgical method should be decided based on the specific location, size, number of fibroids, age, and fertility requirements. If the uterine fibroid is relatively large, pretreatment can typically be carried out before the surgery. For example, using GNRHA-type drugs can reduce the size of uterine fibroids and lower the risk of surgery. Submucosal fibroids can be treated with hysteroscopic electroresection. Intramural or subserosal fibroids can be removed via laparoscopic surgery.

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Written by Shen Li Wen
Obstetrics and Gynecology
38sec home-news-image

How is uterine fibroid surgery performed?

When a woman has uterine fibroids, the surgical method should be decided based on the specific location, size, number of fibroids, age, and fertility requirements. If the uterine fibroid is relatively large, pretreatment can typically be carried out before the surgery. For example, using GNRHA-type drugs can reduce the size of uterine fibroids and lower the risk of surgery. Submucosal fibroids can be treated with hysteroscopic electroresection. Intramural or subserosal fibroids can be removed via laparoscopic surgery.

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Written by Shen Li Wen
Obstetrics and Gynecology
1min 7sec home-news-image

Early symptoms of uterine fibroid malignancy

Uterine fibroids are a type of benign lesion and generally grow slowly. Sometimes, even after several years of continuous re-examinations, the size of the uterine fibroids may not show significant changes. However, when uterine fibroids become malignant, their growth rate can accelerate, causing women to experience hidden pain in the lower abdomen. After the malignancy of uterine fibroids and an increase in size, they can also compress the pelvic floor nerves, leading to an intensification of abdominal pain; they can press forward against the bladder, causing frequent urination and urgency; and press backward against the rectum, resulting in changes in the characteristics of stools. Additionally, when some women's uterine fibroids turn malignant, they can also affect the surface area of the endometrium, impacting the menstrual cycle, such as causing irregular vaginal bleeding.

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Written by Jia Rui
Obstetrics and Gynecology
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How to check for uterine fibroids?

Uterine fibroids are a type of benign tumor of the female reproductive organs. Uterine fibroids are a common gynecological disease and are frequently occurring; they can be clearly seen via abdominal ultrasound. Uterine fibroids mainly form due to the proliferation of uterine smooth muscle cells, with a small amount of fibrous connective tissue existing as a supportive tissue. If the fibroids do not exceed five centimeters and do not affect menstruation or present any clinical symptoms, conservative treatment can be considered, with attention to regular follow-up examinations.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How to manage uterine fibroids

The occurrence and development of uterine fibroids are mainly related to congenital factors and have little to do with postnatal lifestyle conditions. Therefore, when uterine fibroids are detected, there is no need for any specific conditioning. Various traditional Chinese medicines, herbal treatments, or hormonal drugs do not have a definite curative effect on uterine fibroids, and so far, there is no specific medication for the treatment of uterine fibroids. When uterine fibroids are detected, the main considerations are whether they cause symptoms such as excessive bleeding, anemia, or whether they are increasing in size and causing compression symptoms on the surrounding tissues. Uterine fibroids without any symptoms generally only require regular physical examinations and may shrink and disappear after menopause.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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How long does uterine fibroid surgery take?

Firstly, there are several types of surgeries for uterine fibroids, so the duration of the surgery depends on the size of the fibroids, the surgical method, and the type of anesthesia used. If the surgery is an open surgery for simply removing benign uterine fibroids, the operation, including the time for anesthesia, generally takes about two hours, which is not very long. If the surgery is done laparoscopically under general anesthesia, it may take a longer time, and it takes some time for the patient to recover from anesthesia post-surgery. If the uterine tumor is malignant, then the surgery might require rapid pathological examination and the removal of other areas, leading to a more extended surgery time which can vary significantly.