Robotic Surgery for Difficult Fibroids

Are Fibroids Always Benign?

Fibroids are typically non-cancerous growths of muscle and fibrous tissue in or around the uterus. Extremely rare cases can turn malignant, but most fibroids remain benign. They vary in size—from tiny nodules to large masses that distort and enlarge the uterus. While some fibroids cause no symptoms, others can severely affect daily life if they grow or multiply.

What Symptoms Do Fibroids Cause?

Some women experience no symptoms, while others face:

• Heavy or prolonged periods causing fatigue or anemia.
• Pelvic pain or pressure leading to bladder or bowel issues.
• Recurrent discomfort that flares each menstrual cycle.
• Fertility problems, including difficulty conceiving or carrying a pregnancy. These challenges often worsen as fibroids grow.

Which Fibroids Are Labeled ‘Difficult’?

• Large Tumours: Over 5 cm can push against pelvic organs.
• Submucosal Growths: Protruding into the uterine cavity, causing heavier bleeding.
• Broad ligament Fibroids : Broad ligament fibroids are challenging to remove due to their deep location, proximity to vital structures, and risk of bleeding.
• Cervical Fibroids: Fibroids in the cervix can be difficult to access and treat, often requiring specialized surgical techniques.
• Multiple Lesions: Widespread fibroids that demand a more thorough approach.

Why Use Robotic Surgery for These Cases?

A robotic system offers 3D visualization and precision, targeting tough fibroids without major incisions. Surgeons control the robotic arms to delicately remove tumours while safeguarding healthy uterine tissue. Women benefit from fewer scars, less pain, and potentially faster recovery. This approach is especially useful when fertility preservation is a priority.

Does Robotic Myomectomy Protect Fertility?

Yes. By focusing on removing fibroids rather than the entire uterus, your chances of future pregnancy often remain intact. Layered suturing of the uterine muscle ensures a strong repair. Many women see improved fertility outcomes after successful fibroid excision. Individual results vary, but robotic precision tends to limit collateral damage.

What About Robotic Hysterectomy?

If fertility is no longer a goal, a robotic hysterectomy can eliminate fibroid symptoms permanently. This procedure removes the uterus (and possibly the ovaries) via small incisions. Menopause occurs if the ovaries are removed; otherwise, your hormones function naturally. Recovery still tends to be quicker than with open surgery, thanks to minimal cuts.

How Does Surgery Actually Proceed?

Surgeons make a few small incisions in the abdomen for the robotic camera and instruments. You’ll be under general anaesthesia, so no pain is felt during the procedure. The fibroids are excised with care, and the uterine wall is closed neatly if it’s a myomectomy. Most operations last a few hours, depending on the fibroid complexity.

Is the Recovery Truly Quicker?

In many cases, yes. Smaller incisions generally mean less discomfort and a shorter hospital stay—often 1–2 days. Light tasks can resume within a week or two, although complete healing varies. Proper rest, hydration, and follow-up checks are key to a smooth return to normal routines. Compared to traditional open surgery, the downtime tends to be noticeably reduced.

Are There Risks Involved?

All surgeries, robotic or not, carry some risk of bleeding, infection, or injury to surrounding organs. Robotic equipment can add expense, and not every hospital has trained teams to operate it. Rarely, open surgery becomes necessary mid-operation if complications emerge. Thorough consultations ensure you understand these possibilities before moving forward.

Might Fibroids Return Even After Robotic Removal?

Fibroids can recur, driven by hormones or genetic factors. Regular ultrasound monitoring helps catch early regrowth. Lifestyle choices—healthy diet, weight management, and lower stress—may reduce reappearance. If fibroids do come back, robotic surgery can still be an option, often less invasive than if multiple open surgeries were done.