Myoma Removal
A myoma is a harmless (benign) proliferation of the uterine muscles (uterine musculature). As long as the myomas are asymptomatic, they are rarely detected and do not necessarily require treatment. However, if symptoms such as bleeding occur, the patient may consider having the myoma removed.
There are several options for this. To have a myoma removed, the patient usually has to go to a hospital. Here, the myoma can be removed, for example by a scraping.
The area of the uterus concerned is removed under general anesthesia. Since only the myoma is removed without removing surrounding tissue, this is called enucleation. In most cases, it is possible to leave the uterus intact and with so little damage that the woman can still bear children after the procedure.
In addition to enucleation, there are also other ways of having the myoma removed. Embolisation is still a fairly new method. In this procedure, the artery that supplies the myoma is blocked or sclerosed.
As a result, the myoma cannot be supplied with nutrients and oxygen and therefore recedes of its own accord. Embolisation is therefore not a direct removal of the myoma, but rather an indirect removal.However, since it is often not possible to estimate how much of the surrounding tissue will be destroyed by this method, women who wish to have children often refrain from embolization. In drastic cases and in women who do not wish to have children, the myoma can also be removed by removing the patient’s entire uterus. However, this is the ultima ratio, i.e. the last choice, but may be considered in patients at risk of malignant degeneration or in cases of persistent symptoms caused by the fibroids.
