Uterine Fibroids, Myoma
Uterine Fibroids (leiomyomas, fibroids) – benign hormone-dependent tumors of the uterus, which is formed from smooth muscle tissue of the organ and can be located under the mucous membrane of the uterus in its intramuscular layer or on the outside, under the peritoneum.
Mostly women of childbearing period apply to us with this diagnosis. During this period a high level of estrogen is optimal. When the uterine fibroid some women feel heaviness and pain in the lower abdomen, sometimes accompanied by heavy bleeding but also can occur no symptoms and discovered occasionally during one of the routine visits to the doctor.
There are differences also in the process of developing the disease. Some women have fibroids of small size, slow-growing, requiring medical supervision until a certain period, in others there is rapid growth in a short period of time.
Fibroids are also a barrier to pregnancy planning. In this case even a slowly growing fibroids require treatment since being formed in the uterine tissue, violates its natural structure thereby paralyzing the function of the uterine wall. This creates difficulties for women throughout pregnancy, prevents fetal attachment to the wall after conception, during the first and second trimester of pregnancy poses a threat to abortion causes complications in natural childbirth which may lead to the operation method of “cesarean section”
Leading experts in the treatment of uterine fibroids and endometriosis in Israel are:
Professor Joseph Lessing – a specialist in Obstetrics and Gynecology, Head of Obstetrics and Gynecology Department, Lis Maternity Hospital, Tel Aviv Medical Center (Ichilov)
Professor Mordechai Goldenberg – a specialist in the field of endoscopic surgery, Head of Gynecologic Surgery Dpt, Sheba Hospital (Tel Hashomer ), Head of Endoscopic Gynecological Surgery School
View professor’s profile
Treatment method of uterine fibroids and endometriosis depends on the diagnosis experienced gynecologist after physical inspection using ultrasound and possibly diagnostic hysteroscopy.
Uterine fibroids and endometriosis treatment
Due to its many years of experience and a large number of operational practices our doctors achieve good results in the treatment of uterine fibroids and endometriosis, uterus preservation and restoration of the female fertility function.
In addition to drug therapy our physicians successfully perform procedures such as:
Hysteroscopy – an endoscopic procedure under local anesthesia in which uterus is accessed through the vagina. In this case the surgeon can remove fibroids located under the mucous membrane of the uterus, polyps, exercise biopsy, if necessary, remove the adhesive inside the uterus. The procedure lasts about 1.5 hours and requires one day of hospitalization. The stay in Israel – 5 days.
Laparoscopy – an endoscopic procedure under general anesthesia in which access to the uterus through three small puncture marks on his stomach. Operation is used when removing fibroids intramuscular layer of the uterus and fibroids podbryushinnye different sizes. This procedure lasts for 1.5 – 2 hours and requires two days of hospitalization. The stay in Israel – 7 days.
Nowadays, laparoscopic removal of fibroids is more gentle method, compared to open surgery, differing minimal blood loss and faster rehabilitation of the patient. A qualification of our doctors allows to remove fibroids up to 15 weeks of pregnancy, saving the woman ‘s uterus.
Uterine artery embolization – a minimally invasive endoscopic procedure, which is performed under artificial filling (“blockage”) vessels feeding the fibroid, special embolic material resulting in uterine body, ceasing to receive blood supply gradually dies. This procedure is performed by inserting a catheter into the femoral vein, which serves the embolic medicine. Indications for this operation are determined by a doctor in person inspection.
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Amenorrhea (absence of menstruation)
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Cancer and precancerous genital conditions including ovaries, fallopian tubes, uterus,cervix, vulva