Uterine fibroids Removal Doctors in Jordan

Myomectomy is an operation in which uterine fibroids, benign muscle tumours growing in the wall of the uterus, are removed while the uterus itself is preserved. It is usually considered when fibroids cause heavy bleeding or anaemia, pain, pressure on the bladder or bowel, abdominal enlargement, or when a fibroid sits in a position that prevents implantation or causes recurrent miscarriage. A silent fibroid that causes no symptoms usually needs monitoring rather than any procedure. The surgical route is chosen according to the number, size and position of the fibroids within the uterine wall. A fibroid projecting into the uterine cavity is removed through a hysteroscope via the vagina with no incision at all. A fibroid within the wall or on its outer surface is removed laparoscopically through small incisions, or by open surgery through a lower abdominal incision when the fibroids are large, numerous or awkwardly placed. Each route has different advantages and recovery times, and the choice is determined by clinical examination and imaging, ultrasound and sometimes magnetic resonance, rather than by preference alone. The limits of the operation should be understood before consent. Myomectomy removes what is present but does not prevent new fibroids forming over time, so recurrence is possible and a further procedure may eventually be needed. It is not abdominal cosmetic surgery and does not change body weight, it does not guarantee pregnancy because infertility has many causes, and it does not correct every cause of heavy bleeding if a hormonal or clotting disorder or endometrial disease is also present. Rarely a surgeon may need to change the plan during the operation, including hysterectomy for bleeding that cannot be controlled, which is why this possibility is discussed and consented to in advance. One point matters for women planning pregnancy: after the uterine wall has been opened and repaired, a waiting interval before conceiving is usually advised, set by the surgeon, and caesarean delivery may be recommended in a subsequent pregnancy depending on how deeply the muscle was incised. Non-surgical alternatives such as hormonal medicines shrink some fibroids temporarily rather than dissolving them permanently, and uterine artery embolisation is an option discussed in selected cases but is generally not preferred for women planning pregnancy soon. Everything removed is sent for histological examination. The great majority of these tumours are benign, but histology is what confirms it, so it is never omitted and never replaced by imaging.