How big is the uterine tumor that requires surgery?

Uterine fibroids are also a very common gynecological disease among women, but they should be taken seriously because the uterus is a very important reproductive organ for women. The symptoms of uterine fibroids are mainly irregular menstruation, lumps in the lower abdomen, excessive leucorrhea, compression symptoms, back pain, etc. So, how often does uterine fibroids require surgery?

How often does uterine fibroids require surgery?

When uterine fibroids grow to the size of a fist, other organs in the pelvis are compressed. Surgical removal can eliminate the symptom, and large uterine fibroids are more likely to become malignant than small uterine fibroids. The growth rate of uterine fibroids is too fast, or after menopause, uterine fibroids not only do not shrink, but increase. Uterine fibroids cause heavy bleeding, or long-term heavy menstrual flow, prolonged menstruation, and even anemia, which cannot be cured by medicine. At this time, surgical treatment is required. In addition, under normal circumstances, surgery can be considered if the score is above 6.0, and it is recommended to consider it carefully.

The following situations are best treated with surgery

1. Uterine fibroids are twisted: If uterine fibroids are twisted at the pedicle, it may cause acute abdominal pain in patients. If they are not treated surgically in time, it may cause axial twisting of the uterus.

2. If a female patient with uterine fibroids who is in menopause continues to experience abnormal uterine bleeding, she should be alert to the presence of endometrial cancer and should go to the hospital for examination in time.

3. Meet the treatment standards of surgical treatment: Surgery for uterine fibroids is to remove the uterine fibroids on the uterus. It is suitable for existing children, large uterine fibroids with a diameter of more than 5cm; menorrhagia, traditional medication is ineffective; or there is compression syndrome; cervical fibroids; and those with rapidly growing uterine fibroids.

What are the symptoms of uterine fibroids?

1. Irregular menstruation

Irregular menstruation with increased menstrual volume and prolonged menstrual duration is the most common symptom of uterine fibroids. It is common in large intramural fibroids and submucosal uterine fibroids. Uterine fibroids expand the uterine cavity, increase the area of ​​the uterine wall and affect uterine contractions. In addition, uterine fibroids may squeeze the veins around the tumor, causing hematoma and dilatation of the uterine wall venous plexus, which in turn causes increased menstrual volume and prolonged menstruation. When submucosal uterine fibroids are accompanied by necrosis and infection, there may be irregular vaginal bleeding or bloody pus discharge. Long-term increase in menstrual volume may lead to secondary anemia, fatigue, palpitations and other symptoms.

2. Lower abdominal mass

Uterine fibroids are not felt as lumps in the abdomen at first, but can be felt from the abdomen when the uterine fibroids gradually expand and the uterus exceeds 3 months of pregnancy. Very large submucosal uterine fibroids can slip in and out of the vagina, and patients may seek medical treatment due to slipped lumps in the private parts.

3. Excessive leucorrhea

Intramural fibroids expand the total area of ​​the uterine cavity, increase the metabolism of the endometrial glandular ducts, and are accompanied by pelvic congestion leading to excessive leucorrhea; once submucosal uterine fibroids are infected, there may be a lot of thick secretions. If there is ulceration, necrosis, or bleeding, there may be bloody or thick bloody vaginal discharge with a foul odor.

4. Oppressed Diseases

Uterine fibroids in the lower segment of the anterior wall of the uterus can compress the bladder and cause frequent urination, urgency, and inability to hold urine; cervical fibroids can cause difficulty in urination and urine retention; uterine fibroids on the posterior wall of the uterus (muscle wall or posterior wall) can cause lower abdominal pain and discomfort, constipation and other symptoms. Broad ligament fibroids or oversized cervical fibroids tend to develop laterally, and the compressed urethra tube placed in the pelvis blocks the upper urinary tract, causing ureteral dilatation and even hydronephrosis.