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Fibroid

Fibroid Awareness and Treatment

Fibroids and Their Impact on Women's Health.

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Experience

About Fibroid

Fibroids are non-cancerous growths in the uterus that can cause pain, heavy bleeding, and other symptoms.

  • Fibroids are benign tumours arising from the muscle of the uterus
  • They are also called myomas or leiomyomas
  • Fibroids occur in 30-40% of all women
  • They may be located on the surface of the uterus (serosa), deep in the muscle (myometrium) or within the cavity of the uterus (endometrium)
  • They may be single or multiple
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Symptoms

Symptoms of Fibroids

  • Majority of the fibroids are small usually less than 5cm and asymptomatic
  • However as they grow or come into the uterine cavity, they may cause symptoms
  • They may be located on the surface of the uterus (serosa), deep in the muscle (myometrium) or within the cavity of the uterus (endometrium)
  • They may be single or multiple
  • Heavy uterine bleeding
  • Severe pain during menses
  • Pressure on urinary bladder causing increased frequency & urgency of passing urine or sometimes obstruction to passage of urine
  • Pressure on bowel causing increased frequency & urgency of motions or sometimes constipation & bowel obstruction
  • Feeling of heaviness & lump in abdomen
  • In pregnancy, it can lead to premature labour & delivery, abnormal position of the baby and obstruct delivery with increased chances of Cesarean delivery
  • It can undergo degeneration (red degeneration) causing severe pain and fever
  • However, if a fibroid is diagnosed during pregnancy, pregnancy should be continued under supervision and does not require termination
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We Provide Comprehensive Care for All Your
Fibroid Disease Treatment Needs.

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Accurate and timely diagnosis of fibroids is essential for effective treatment and management.

Diagnosis

Expert fibroid diagnosis for effective treatment.

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Clinical evaluation

Clinical evaluation by the doctor may reveal a large lump in the abdomen or an irregular enlarged uterus

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Ultrasound

Ultrasound is an accurate method of diagnosing fibroids where the fibroid appears as round dark structures arising from the uterine muscle

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MRI

MRI helps in mapping the size and location of fibroids

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Treatment

Treatment options for Fibroids


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Overview

Small fibroids less than 5cm and not causing symptoms do not need treatment. They should be observed at periodic intervals to assess change in size or number

Non-Surgical Methods

  • Medical treatment including injectables (GnRH analogues) and oral medication (Ulipristal, mifepristone, progestins & oral contraceptive pills)
  • High Frequency Ultrasound
  • Embolization of the blood supply of the fibroid
  • Injectable medical treatment can be administered for a short period (3-6 months) prior to surgery in anemic women, in the perimenopause and in case of associated diseases such as endometriosis & adenomyosis
  • Due to severe side effects long term use is not advised
  • Oral medication shrinks fibroids by about 50% and may be used over longer terms of a few years safely especially in perimenopausal women and young women to delay or avoid surgery
  • Ulipristal has been banned in some countries due to the possibility of liver damage
  • High frequency ultrasound (HIFU or MRGFuS) has been used to burn the fibroids under MRI guidance
  • It reduces the fibroid volume and symptoms by 50-70%
  • However regrowth of surviving fibroid tissue can occur, there is no tissue for histopathology and complications such as bowel & bladder burns and nerve injuries have been reported
  • Uterine artery embolisation blocks the blood supply to the fibroids and achieves similar reduction in fibroid volume & symptoms as HIFU
  • However endometrial damage & ovarian failure can occur
  • HIFU & embolization are not recommended in women desiring pregnancy and may not work in multiple fibroids
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Surgical Treatment of Fibroids

  • Fibroids need to be removed surgically if they are causing symptoms or in case of failure of medical treatment
  • Laparoscopy is the gold standard for removing most fibroids
  • The whole operation is performed in 3-4 small incisions less than 1cm
  • The fibroids are removed from the uterus and the incisions on the uterus sutured
  • Since there is possibility of spillage of the fibroid tissue in the abdomen, the fibroids are placed in a large and removed in strips (morcellation) by an instrument (Morcellator) introduced in the bag
  • Hysteroscopic surgery (surgery through the uterine cavity) is utilised when the fibroid is not too large and projecting through the uterine cavity
  • The fibroid is cut with an electric current or a saving device into small chips which are removed with the hysteroscopic fluid
  • This procedure allows select fibroids to be removed without any cut on the body and painlessly
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Expertise

Skilled in diverse medical specialties

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Advanced Technical Expertise
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Comprehensive Specialization
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Patient-Centered Care
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Focus on Women’s Health
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Surgical Precision
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Multidisciplinary Approach

Medicine Specialist

Dr. Nagendra Sardeshpande

Gynecological Endoscopic Surgeon, Endometriosis Specialist, Fertility Specialist, Gynecological Oncosurgeon and Robotic Surgeon

D.N.B. F.C.P.S. D.G.O. (BOM) D.G.O. (CPS) D.F.P. F.I.C.O.G. M.B.B.S.
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Completed Case Studies

For case study videos and presentations, visit our YouTube channel

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Testimonials

Hear from Our Happy Customers

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I would like to express my sincere thanks and gratitude to Dr Nagendra Sardeshpande who is expert in Obstetrician-Gynecologist, hysterectomy laproscopy surgery. Recently, my wife underwent with fibroid removal surgery from her ovaries in Medeor Hospital in Dubai. Thanks god she has been in the right hand of doctors Dr Elizabeth Mathew and Dr Nagendra. I strongly recommend anyone who wants to carry out any gyneco related surgery, please contact him. Excellent surgeon, pleasing personality and concern with patient. Great Doctor. Personal thanks and great salute to doctor

Sgs Manian

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I went in worli hospital for treatment for my wife's laproscopic histro-laproscapy. Experience was just what we were looking for. Doctors and all staff was really Empathetic towards us and after surgery support was just amazing. Hoping to get best results in our persute of pregnancy treatment and we are very our search of baby will be over at this place

Tejas chavan

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Doctor Nagendra is absolutely professional and very polite. Sir's consultancy is always on point. He is clearly the best

Swarna Shetty

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Dr. Nagendra Sardeshpande performed laparoscopic surgery to treat endometriosis. He is highly skilled and one of the foremost experts in this field. He was always available to answer all our questions and made us feel comfortable and confident before, during and after the surgery. His dedication to the field and patient care is commendable. He visited the patient even during his busy schedule of traveling to different places for surgery and provided excellent care and line of treatment. We would highly recommend him for any gynaecology related issues.

Manas Karambelkar

Faq’s

Feel Free Asked Any Questions

Can fibroids affect fertility?

Fibroids can sometimes cause infertility or pregnancy complications, depending on their size and location. They may block fallopian tubes, interfere with implantation, or cause complications during labor.

Are fibroids cancerous?

Can fibroids go away on their own?

How do fibroids impact pregnancy?

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Our Presence

OPD

  • Worli Hospital for Women
    Monday to Friday 7 to 9pm & Saturday 4 to 6pm
    For appointments call: 9867004241 / 022224224241 / 8369808935 (Secretary Mrs. Rupali Dongre).
  • Sir HN Reliance hospital
    Monday, Wednesday, Friday 4 to 6pm (by appointment)
    For appointments call: 8369808935 (Secretary Mrs. Rupali Dongre) or Sir HN Reliance hospital.
  • Medeor Hospital Dubai
    for consultation (by appointment) call: +971 50 9908945/+91 9867004241 (Secretary Mrs. Rupali Dongre)

Hospital Attachments

  • Saifee hospital
  • Bombay Hospital Institute of Medical Sciences
  • Bhatia hospital
  • Wockhardt hospital
  • Medeor hospital (Dubai)
  • Burjeel hospital (Sharjah)
  • Worli Hospital for Women
  • Cardinal Gracias hospital
  • Sir HN Reliance Foundation hospital
  • Breach Candy hospital
  • Jupiter Hospital
  • SL Raheja Fortis hospital