Information about uterine fibroids
Minimally Invasive Therapy Unit & Endoscopy Training Centre
University Department of Obstetrics and Gynaecology
Royal Free Hospital
Pond Street
Hampstead
London NW3 2QG, UK

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A new website for gynaecologists interested in the surgical management of fibroids is now on line. www.fibroidsurgery.org

Information about uterine fibroids from the Royal Free Hospital, London, UK

fibroids uk, Adam Magos Welcome to this web site. You will find information about uterine fibroids (leiomyoma), how they are diagnosed, and details of different treatments including hysteroscopic myomectomy, laparoscopic myomectomy, vaginal myomectomy and open myomectomy, as well as uterine artery embolisation. The web site has been specially written for patients and we have done our best to minimize the jargon.

The main purpose of this site is to provide you with details about the various treatments used to manage patients with fibroids so you can better decide, with your gynaecologist or general practitioner, which is the best in your case. All these treatments are available at the Fibroid Clinic at the Royal Free Hospital, including:

These may be of interest to you

We have prepared a summary of the indications/contraindications and advantages/disadvantages of currently available treatments and an explanation of the different types of myomectomies which you can download - see Treatment summary.

We have been using our new ovarian artery clamps in combination with a pericervical tourniquet to reduce bleeding at open myomectomy for almost one year, and the results appear to be as good as conventional triple tourniquets but without affecting ovarian blood flow during surgery. Click here to see it being used.

Myomectomies carried out at the Royal Free Hospital during 2005 - 2014:

 
2005
2006
2007
2008

2009

2010 2011
2012
2013
2014
Total
Hysteroscopic
20
29
16
32
22
35 25
32
36
27
274
Laparoscopic
17
15
16
9
16
5 3
3
7
2
93
Laparotomy
23
28
28
24
42
33 40
43
34
29
324
Vaginal
1
2
3
5
4
6 9
8
3
2
43
Total
61
74
63
70
84
79 77
86
80
60
734
Conversion to hysterectomy
0
2*
0
0
0
0
0
0
0
0
2 (0.27%)

* Both hysterectomies were in women having their second open myomectomy for multiple fibroids.

Adam Magos BSc MB BS MD FRCOG
Consultant Gynaecologist
The Royal Free Hospital
London

How common are fibroids?

Uterine fibroids are very common. They are more frequent in women of Afro-Caribbean origin, being three times as common as in white, Hispanic and Asian women.

A recent study from the USA showed that fibroids are even more common than we thought. 35% of premenopausal women had a previous diagnosis of fibroid tumors. 51% of the premenopausal women who had no previous diagnosis had ultrasound evidence of fibroids. The estimated cumulative incidence of fibroids by age 50 was >80% for black women and nearly 70% for white women.