The Health Blog

What are the different types of fibroids and how are they removed?

Fibroids may be described as subserous, intramural or submucous depending on where they are situated in the uterus. The site of the fibroid is an important consideration when deciding how it will be removed.

Subserous fibroids protrude from the outer surface of the uterus, intramural fibroids are buried in the wall of the uterus, and submucous fibroids protrude from the endometrial lining into the interior of the uterus. A further term used to describe fibroids is pedunculated. Pedunculated fibroids, usually of the subserous or submucous variety, grow at the end of a stalk.

When myomectomy is chosen as the treatment method for fibroids, the abdominal approach to entering the uterus is chosen if the fibroid is subserous or intramural. (The abdominal approach may be open cut or by laparoscopy.) If the fibroid is submucous or pedunculated submucous and the surgeon is sufficiently skilled, a hysteroscopic myomectomy maybe carried out.

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