Determining the Route of Surgery for Leiomyomas

The determination of the surgical route for leiomyomas, commonly known as uterine fibroids, involves a multifaceted approach that considers the patient's symptoms, fertility desires, the size and location of the fibroids, surgeon’s expertise and experience, and patients preferences. Surgical options range from hysterectomy, which is the definitive treatment, to myomectomy and less invasive procedures such as uterine artery embolization and MRgFUS. Interestingly, while hysterectomy is the only definitive solution, it is not without risks, and alternative treatments are available that may align better with the patient's quality of life and fertility goals. Minimally invasive surgery options are preferred by many patients due to factors such as quicker recovery and smaller incisions, despite the potential risks associated with power morcellation. The patient's informed consent is crucial, and the decision should be made collaboratively with the healthcare provider to ensure the best possible outcome.