Uterine Fibroids Treatment Options

Treatment options:

There are a number of treatment options for uterine fibroids. In the past, the most common treatment was a hysterectomy. Today, there are more treatment options for women with symptomatic fibroids to choose from.  When looking at the available options available, you need to consider several factors such as your:

Attesa vigile
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Nessun trattamento. Monitoraggio dell’eventuale progressione dei sintomi.

Trattamenti alternativi
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Opzioni terapeutiche non invasive per i fibromi uterini, quali la terapia ormonale, le terapie orali, i trattamenti erboristici e quelli omeopatici e olistici.

Embolizzazione dell’arteria uterina
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I medici iniettano particelle di alcol polivinilico nell’arteria uterina attraverso un catetere. In questo modo si blocca l’afflusso di sangue al fibroma, causandone la necrosi.

  • Nessuna anestesia generale
  • Nessuna degenza ospedaliera
  • 1 -2 settimane di convalescenza a casa
Trattamento laser per i miomi uterini
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Unisce la risonanza magnetica o la miolisi laparoscopica ai laser per interrompere l’irrorazione sanguigna del fibroma. Il trattamento può causare ustioni cutanee.

Anche questo trattamento richiede l’impiego dell’anestesia generale, ma non il ricovero. La convalescenza dura circa una settimana.

Miomectomia assistita da robot o miomectomia robotica
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Una procedura minimamente invasiva che utilizza la tecnica della miomectomia laparoscopica attraverso piccole incisioni “a buco della serratura”.

Questo trattamento prevede l’impiego dell’anestesia generale e una convalescenza di circa 2-6 settimane.

Miomectomia laparoscopica con mini-laparotomia
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La miomectomia laparoscopica con mini-laparotomia consente di asportare fibromi di dimensioni più importanti rispetto a quelle che il solo laparoscopio può gestire. Generalmente il trattamento prevede l’esecuzione di un’incisione relativamente piccola (non più di 7,6 cm) nell’addome.

Questo trattamento prevede l’impiego dell’anestesia generale e una convalescenza di 1-2 settimane.

Neuravive – MR Guided Focused Ultrasound Technology
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Neuravive, MR guided Focused Ultrasound (MRgFUS) is a new technique that is now available to neurosurgeons where sound waves can be focused through the skull to target a very specific location deep within the brain without the need for incisions or holes in the skull.   This is the same target used for years with other more invasive surgery, but now can be reached without incisions or anesthesia.   Thus, it is much less invasive than conventional surgery.

MR guided Focused Ultrasound (MRgFUS) is a therapy platform that combines two proven technologies – High intensity focused ultrasound that is guided by Magnetic Resonance Imaging.

The high intensity focused ultrasound (FUS) generates heat at the focal point to create a tiny lesion in the targeted area of the brain.

The MRI system is the eyes of the treatment, enabling the physician to identify and target the treated area with high precision as well as monitor the temperature during treatment.

Medication
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There are no medications specifically designed to treat essential tremor, but there are some medications which can reduce the severity of the tremor in some patients:

  • Propranolol (Inderal®) – the only medication approved by the FDA for the treatment of essential tremor, but it is primarily used for treating high blood pressure
  • Primidone (Mysoline®) is an anti-seizure medicine
  • Anti-anxiety medications may be useful in patients who do not respond to other medications or who have associated anxiety
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