Diagnosis of uterine fibroids

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Ta Quoc Ban - Department of Obstetrics and Gynecology - Vinmec Phu Quoc International General Hospital
Uterine fibroids are a very common gynecological disease, at all ages, from childbirth to menopause or post-menopause. However, recently this disease is more and more common in young women.

1. What are uterine fibroids?

Uterine fibroids are benign tumors that usually appear in the wall of the uterus or on the wall of the uterus. Fibroids are formed when a smooth muscle cell divides many times, growing into a firm, elastic mass that separates from the rest of the uterine wall. Fibroids can grow into a mass, even many masses with very different sizes
There are 3 types of uterine fibroids, including:
Subserosal fibroids: These fibroids grow from the uterus and outward External Fibroids Intramural (Interstitial): Fibroids form and grow from within the wall of the uterus. Intramural fibroids can cause the uterus to enlarge Submucosal fibroids: These are tumors that develop in the endometrium. Submucosal fibroids can affect a patient's menstrual cycle, potentially causing infertility and miscarriage

2. Diagnosis of uterine fibroids

2.1. Diagnosing symptoms Small uterine fibroids may not cause any particular symptoms. At this stage, patients often do not discover or discover the disease by accident through periodic health check-ups or other medical examinations. Until the tumor is large, it causes more obvious symptoms such as:
Affects the menstrual cycle: Menstruation is heavier, menorrhagia, heavy bleeding... Increased pressure on the bladder: urinary retention, frequent urination , heaviness in the abdomen, constipation... Making the patient's abdomen swell 2.2. Examination Patient may be normal or pale, anemic The uterus is large and firm, irregular density, cervical mobility Degenerative uterine fibroids, causing the patient to have peritoneal symptoms 2.3. Subclinical Uterine ultrasound: Accurately determine the number, size, location of tumors... In difficult cases such as large tumors or need for differential diagnosis, CT or MRI UIV can be used to assess ureteral compression, kidney 2.4. Differential diagnosis Hypogastric tumor: Pregnancy, uterine polyps, endometriosis in myometrium... Pelvic pain: Due to endometriosis, endometriosis in myometrium, ectopic pregnancy , appendicitis... Abnormal uterine bleeding due to endometrial hyperplasia, not ovulating...

Vinmec International General Hospital applies the robotic surgery method of treating uterine fibroids with outstanding advantages such as:
No vision restriction like traditional, optimal image quality with accuracy higher. The robot has 4 hands, equivalent to 2 surgeons, which eliminates unnecessary vibrations (hand tremors). Capable of operating in difficult positions, can move freely at 6 angles, wriggle into the smallest and deep cavities. Safe, minimize the risk of complications, surgical infection. Less pain compared to conventional surgery. Less blood loss, quick recovery, reduced hospital stay. Ensure aesthetics due to very small surgical scars. Robotic laparoscopic surgery for uterine fibroids is considered the leading method today for uterine fibroids.
Master. Doctor Ta Quoc Ban is formerly a Lecturer in the Department of Obstetrics and Gynecology, University of Medicine and Pharmacy - Thai Nguyen University, Doctor of Obstetrics and Gynecology at Thai Nguyen Central General Hospital, Deputy Head of the Department of Obstetrics and Gynecology at the Hospital of Medical University. The doctor has full practice certificates in the field of obstetrics and gynecology such as: Ultrasound, laparoscopic surgery, endoscopic and electrocautery, artificial insemination (IUI)...
Experienced and qualified Strong in the following fields:
Obstetrics and Gynecology Ultrasound Laparoscopic surgery in gynecology Prenatal counseling Gynecological examination and consultation Infertility examination and consultation, implementation of sperm injection technique into the uterus , Pre-vaccination screening and treatment of post-vaccination reactions...

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