London Fibroids Expert explains latest Laparoscopic Procedure on Video

Total Health | October 22nd, 2009

Fibroids expert Adrian Lower in an article for totalhealth has included a video that clearly demonstrates how fibroidsBenign tumours, most often in the uterus. can be removed effectively using a minimally invasive, laparoscopicA keyhole surgical procedure. procedure.

His article entitled ‘Modern Management of Uterine Fibroids’ explains all the most recent advances in fibroids treatment including:

  • Medical management and latest drugs
  • Hysteroscopic resectionThe surgical removal of part of the body.
  • Laparoscopic myomectomy
  • Uterine Artery Embolisation (UAE)
  • Open Myomectomy
  • Hysterectomy

Adrian Lower says; “Uterine fibroids are common and can cause a range of symptoms.  Treatment for fibroids should be individualised on the basis of the symptoms a thorough assessment with modern imaging techniques and careful consideration of your preferences and in particular your desire for a family.”

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Expert articles

Uterine Fibroids FAQs

By Mr Adrian Lower, Fibroids ExpertContact
The Princess Grace Hospital

Following the series of articles about uterine fibroidsBenign tumours, most often in the uterus. by Consultant Gynaecologist, Mr Adrian Lower, many women have written us questions. These have now been answered by Mr Lower in his article on the most frequently asked questions on fibroids.

The Causes of Irregular and Heavy Periods

By Mr Ertan Saridogan, Consultant GynaecologistContact
University College Hospital London, Portland Hospital for Women and Children

Irregularity and heaviness of periods may be due to a number of causes including fibroidsBenign tumours, most often in the uterus. (non-cancerousMalignant, a tumour that may invade surrounding tissues or spread to distant parts of the body. growths) of the wombThe uterus., polypsGrowths on the surface of a mucous membrane (a surface that secretes mucous), lining any body cavity that opens to the outside of the body. (abnormal growth of tissueA group of cells with a similar structure and a specialised function. from the lining of the womb), thickening of the lining of the womb (hyperplasia), adenomyosis of the womb (non-cancerous condition of the womb that often mimics the symptoms of fibroids), bleeding or clotting problems, bloodA fluid that transports oxygen and other substances through the body, made up of blood cells suspended in a liquid. thinning medication, hormonal imbalance or, very rarely, cancer of the womb or of the neck of the womb (cervixAny neck-like structure; most commonly refers to the neck of the uterus.).

Uterine Fibroid Embolisation. What is Involved?

By Dr Nigel Hacking, Consultant RadiologistContact
Southampton University Hospitals NHS Trust, The Princess Grace Hospital

Uterine Fibroid Embolization (UFE)

This is a non-surgical, minimally-invasive, procedure that blocks off the arteries that supply the fibroidsBenign tumours, most often in the uterus. with bloodA fluid that transports oxygen and other substances through the body, made up of blood cells suspended in a liquid. (the uterine arteries), therefore shrinking the fibroids. 

  • It is performed with the patient conscious, but sedated.
  • It is carried out by an Interventional Radiologist (IR), a doctor who has been specially trained in using x-ray equipment, interpreting the images produced and performing operations using X-Ray or other modern imaging equipment for guidance.
  • It was first performed in France in the early 1990’s, although radiologists have been embolising uterine arteries for more than 20 years to control bleeding from the wombThe uterus., especially after childbirth.
  • 80-96% of women are satisfied with the treatment and its result, and most patients rate the procedure as “very tolerable”.
  • The shrinkage in fibroid size averages 60% but varies from 20-100%.
  • Most women start getting relief of symptoms immediately, although fibroids that have taken years to develop will take months, or even years, to shrink to their final size.
  • Over 150,000 women world-wide have undergone fibroid embolisation (UFE).

Modern Management of Uterine Fibroids

By Mr Adrian Lower, Fibroids ExpertContact
The Princess Grace Hospital

In the earlier articles in this series we looked at the nature of fibroidsBenign tumours, most often in the uterus. and the investigations used to establish an accurate diagnosisThe process of determining which condition a patient may have..  In this article we shall look at the management options for the treatment of uterine fibroids and some of the factors which will guide your gynaecologist in helping you to select the correct management for you.

Investigations used to establish a diagnosis of uterine fibroids

By Mr Adrian Lower, Fibroids ExpertContact
The Princess Grace Hospital

Symptoms attributable to uterine fibroidsBenign tumours, most often in the uterus. can also be caused by a number of other conditions, notably ovarianrelating to the ovaries cysts, endometriosisA condition in which tissue that normally lines the uterus (womb) of a woman is found outside the uterus or in other parts of the body. and pelvicRelating to the pelvis. infectionInvasion by organisms that may be harmful, for example bacteria or parasites..  As such, it is particularly important that the most appropriate investigative technique is used to determine an accurate diagnosisThe process of determining which condition a patient may have. and subsequent options for treatment.  

An Introduction to Fibroids

By Mr Adrian Lower, Fibroids ExpertContact
The Princess Grace Hospital

Uterine fibroidsBenign tumours, most often in the uterus., which are non-cancerousMalignant, a tumour that may invade surrounding tissues or spread to distant parts of the body. tumours, occur in up to 50% of women.  Although they only cause symptoms in around a quarter of cases they remain the most common cause of hysterectomyThe surgical removal of the uterus (womb). before the menopauseThe time of a woman’s life when her ovaries stop releasing an egg (ovum) on a monthly cycle..

Related videos
See video

Laparoscopic Myomectomy

By Mr Adrian Lower, Fibroids Expert

A video showing Consultant Gynaecologist, Mr Adrian Lower, performing a laparoscopicA keyhole surgical procedure. myomectomy.

See video

Laparoscopic Subtotal Hysterectomy

By Mr Adrian Lower, Fibroids Expert

This is a video of a laparoscopicA keyhole surgical procedure. subtotal hysterectomyThe surgical removal of the uterus (womb). being performed by Consultant Gynaecologist Adrian Lower.

See video

Removing a large fibroid from the peritoneal cavity

By Mr Adrian Lower, Fibroids Expert

A video showing Consultant Gynaecologist Adrian Lower using the the morcellator to remove a large fibroidA benign tumour, most often in the uterus. from the peritoneal cavity.

Recent news

totalhealth Consultants feature in “Top Ten” of Fibroids Experts

Total Health | March 4th, 2011

A number of Consultants who write for Total Health feature in a recent survey carried out by the Daily Mail to discover the top ten fibroidsBenign tumours, most often in the uterus. experts in the UK. Forty leading gynaecologists and interventional radiologists in the country were asked, “If your own nearest and dearest were to need fibroidA benign tumour, most often in the uterus. treatment to whom would you refer them and why?” Each nominated five fellow consultants and explained the qualities that made their selections top performers. The results were compiled into a top ten headed by Ertan Saridogan and also featuring Adrian Lower and Nigel Hacking.

Expert guide to Women’s Health

Total Health | November 16th, 2009

Women’s health issues can be complex. Treatment approaches are changing rapidly and so when something is wrong you want to know that your doctor is at the leading edge of medicine. No one person can possibly be expert in every aspect and so access to a team of specialist women’s health experts is critical.

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