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Uterine Fibroid Treatment in Goregaon West, Mumbai

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Dr. Dimple Doshi (MBBS, MD, DGO)
Female Obstetrician and Gynecologist
27+ years’ experience
20,000+ surgeries completed

What treatment options are available for fibroids?

You have multiple treatment options depending on:

  1. Your symptoms
  2. MRI findings
  3. Fertility goals
  4. Overall health

Choices range from medicines to non-invasive technology to advanced 3D laparoscopic surgery.

Your treatment choices include:

Medical Management

Symptom control with medicines

Non-Surgical Management

  • Non-invasive HIFU
  • Uterine artery embolization (UAE)

Surgical Management

  • 3D laparoscopic myomectomy
  • Hysteroscopic myomectomy
  • Open abdominal myomectomy
  • Laparoscopic hysterectomy (for non-fertility-seeking patients)
  • Open hysterectomy if fibroids are too big, oddly located, or the patient is unfit for laparoscopic surgery

A minimally invasive, uterus-preserving surgery where fibroids are removed through tiny cuts using the Karl Storz Rubina 4K 3D system. The 3D depth perception helps in precise dissection and perfect multilayer uterine suturing.

Why 3D Laparoscopy Is Preferred

  • Excellent depth perception
  • Greater precision for deep intramural fibroids
  • Stronger uterine closure → better future pregnancy outcomes
  • Very low blood loss
  • Minimal tissue trauma
  • Faster recovery and early mobility
  • Tiny cosmetic scars
  • Low adhesion formation

CPT Codes (Laparoscopic Myomectomy)

  • 58545 – Laparoscopic myomectomy (1–4 fibroids, <250 g)
  • 58546 – Laparoscopic myomectomy (>4 fibroids or >250 g)

A scarless, no-incision procedure for fibroids that grow inside the uterine cavity.

Benefits

  • Day-care procedure
  • Immediate relief from heavy bleeding
  • Very fast recovery
  • Ideal for submucous fibroids (Type 0, 1, selected Type 2)
  • Best suited for submucous fibroids less than 3.5 cm in size

CPT Code

  • 58561 – Hysteroscopic myomectomy
Open surgery is chosen only in situations where laparoscopy may not be the safest approach.

Indications Include

  • Very large fibroids
  • Oddly placed fibroids
  • Multiple large deep intramural fibroids
  • Patient medically unfit for laparoscopy
  • Patient with multiple previous abdominal or pelvic surgeries (higher risk of dense adhesions)
  • History of abdominal or genital tuberculosis, where adhesions are commonly expected

CPT Codes (Open Myomectomy)

  • 58140 – Standard abdominal myomectomy
  • 58146 – Extensive abdominal myomectomy

HIFU (High-Intensity Focused Ultrasound)

A completely non-surgical technique that shrinks selected fibroids using focused ultrasound energy.

Best Suited For

  • Few well-defined fibroids
  • Women wanting a no-cut, no-stitch option
  • Patients not planning pregnancy immediately
Keywords: HIFU fibroid treatment Mumbai, non-surgical fibroid shrinkage Goregaon.

Uterine Artery Embolization (UAE)

A minimally invasive radiology procedure where the blood supply to the fibroids is blocked, causing shrinkage.

Best Suited For

  • Heavy bleeding
  • Multiple fibroids
  • Women who want to preserve the uterus but do not plan pregnancy

Medicines help reduce symptoms but do not remove fibroids.

Options Include

  • Tranexamic acid for heavy bleeding
  • NSAIDs for pain relief
  • Hormonal therapy
  • LNG-IUD (Mirena)
  • GnRH analogues (short-term shrinkage or pre-operative optimisation)

Your care is personalised, structured, and comfort-focused.

Step-by-Step Approach

  • Consultation + pelvic scan
  • MRI fibroid mapping if needed
  • Selection of best treatment option
  • Pre-operative optimisation
  • Surgery (3D laparoscopy / hysteroscopy / open) if recommended
  • Smooth recovery and follow-up

CPT Codes

  • 58545 – Laparoscopic myomectomy
  • 58546 – Extensive laparoscopic myomectomy
  • 58561 – Hysteroscopic myomectomy
  • 58140 – Open myomectomy
  • 58146 – Extensive open myomectomy
  • 58570–58573 – Laparoscopic hysterectomy (if indicated)

Which fibroid treatment is best in Goregaon West?

Ans. For most women, 3D laparoscopic myomectomy gives the safest and fastest recovery with excellent fertility outcomes.

Do all fibroids need surgery?

Ans. No. Treatment is recommended only when symptoms are significant or fertility is affected.

Can I get pregnant after fibroid removal?

Ans. Yes. 3D laparoscopic closure supports better future pregnancy.

How fast is the recovery after 3D laparoscopy?

Ans. Most patients return to routine life within a week.

Is HIFU a good option?

Ans. Yes, for selected patients wanting a non-surgical choice.