Fibroid Removal

Fibroids / Myomas are innocent swelling in the muscle of womb (uterus), which can be diagnosed by ultrasound scan / MRI.

Fibroids are classified by their location which affects the symptoms they may cause.

Intracavity fibroids

They are inside the cavity of the uterus will usually cause bleeding between periods /heavy menstrual periods and affects fertility. These fibroids can easily be removed by a method called "hysteroscopic resection,"(TCRF) which can be done through the cervix without the need for an incision.

Submucous fibroids

They are partially in the cavity and partially in the wall of the uterus. They too can cause heavy menstrual periods and bleeding between periods and may affect fertility. Some of these can also be removed by hysteroscopic resection.

Intramural fibroids

They are in the wall of the womb, and can range in size from very tiny to larger than a melon. Many of these do not cause problems unless they become quite large. There are a number of alternatives for treating these, but often they do not need any treatment.

Subserous fibroids

They are on the outside wall of the uterus. These do not usually need treatment unless they grow large, but they can twist and cause pain. This type of fibroid is the easiest to remove by laparoscopy.


Myomectomy is the removal of fibroids (either through the cervix with no incision-TCRF or through abdomen by a small incision-laparotomy, or through keyhole- laparoscopy)
Majority of fibroids do not need to be removed, some large ones and those which are near the tubes or inside the womb may need removal. We would recommend treating the fibroids only if we feel that their removal will improve your chances of getting pregnant.

Miss Akbar uses special techniques to offer blood less myomectomies (which is beneficial for those who have reservation to blood transfusion, including operating on JW patients).

Click Here to view a presentation about myomectony study by Miss Akbar
Following myomecetomy by Miss Akbar

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