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What Does This Sonography Report Of Uterus Indicate?

Posted on Wed, 18 Mar 2015

Question: Dear Sir, IN my sonography report it shows UTERUS : Anteverted bulky, Normal thin endometrial echoes. Myometrial echo normal homogenous E/O well defined, nonhomogenous lesion sized 3.5 x 2.9 cm in the lower anterior wall subserous noted. Another of 2.9 x 3.2cm in the lower postero right lateral wall . ..
please suggest i need to operate the above fibroids or not...

Answered by Dr. Soumya (7 minutes later)

Brief Answer:
Surgery needed only if necessary

Detailed Answer:
Hello,

I understand your concerns about fibroid uterus and dilemma you are facing for operating.

Fibroids are common at your age. If they are not causing any problems like pain abdomen or excessive menstrual bleeding, don't get them operated. Leave them alone.

If you are trying for pregnancy or have any symptoms like mentioned above, you might need to get fibroids removed.

Hope this answer clarifies your doubts.

Let me know if you need any more clarifications.

Regards
Dr. Soumya

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Soumya (34 minutes later)

thanks for the reply...
I am having pain abdomen or excessive menstrual bleeding also falling weekness and pain in my legs. so is there any medicins available for shrink the fibroids or i will go for surgary ...pl suggest...although I am not trying for pregnancy,,..

Answered by Dr. Soumya (1 hour later)

Brief Answer:
Laparoscopic myomectomy is best

Detailed Answer:
Hi,

Thanks for detailing me about symptoms you have.

Unfortunately there are no effective medicines to cure or shrink the fibroids of this big size.

Considering your symptoms, size of fibroid and age I consider it will be best if you undergo removal of fibroids surgery by laparoscopy. This is surgery is called laparoscopic myomectomy.

Let me know if you wish to know more information.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Soumya (21 hours later)

HI, could you please explain me how is undergo removal of fibroids surgery by laparoscopy. This is surgery is called laparoscopic myomectomy. how it works... and how much expensive it was...what precautions should i take while going for laaroscopy.....

Answered by Dr. Soumya (4 hours later)

Brief Answer:
Laparosopic myomectomy explained

Detailed Answer:
Hello,

Let me explain you some aspects of laparoscopic myomectomy.

Laparoscopic myomectomy means removal of fibroid. through 3 small key holes in abdomen.

In conventional open surgery, abdomen is opened by surgical incision where as in laparoscopic surgery, abdomen is not opened by surgical incision but small holes only and fibroid is removed through instrument called laparoscope.

Laparoscopy is less painful and better in term of long term adhesions development.

It costs between 25 to 55 thousand depending upon different hospitals and surgeon.

No precautions needed for laparoscopy if your health is otherwise good with no other comorbidities.

I hope you got an idea about laparoscopic myomectomy. Let me know if you need additional information.

Regards,
Dr. Soumya

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Above answer was peer-reviewed by : Dr. Pradeep Vitta