Hysterectomy & Fibroid Surgery

Comprehensive Care for Uterine Fibroids and Related Conditions

Uterine fibroids are one of the most common reasons women seek gynaecological surgery. While not all fibroids need treatment, some can cause persistent bleeding, pain, or fertility issues. Surgical options range from fibroid removal (myomectomy) to full hysterectomy, depending on your age, symptoms, and future goals. Dr. Affie Tourani offers expert evaluation and both conservative and definitive surgical treatments — including minimally invasive options — tailored to each woman’s needs.

Illustration showing types of laparoscopic hysterectomy, including total hysterectomy, total hysterectomy with bilateral salpingo-oophorectomy, supracervical hysterectomy, and radical hysterectomy with bilateral salpingo-oophorectomy, with labeled anatomy such as fallopian tubes, ovaries, cervix, and uterus.

When Is Surgery Needed?

Surgery may be recommended if fibroids are:

  • Causing significant symptoms (e.g. heavy bleeding, pain)

  • Rapidly growing

  • Affecting fertility or pregnancy outcomes

  • Unresponsive to medications or other treatments

  • Leading to anaemia or lifestyle disruption

Surgical Options

Myomectomy (Fibroid Removal)

This is the preferred option for women who wish to preserve their uterus and fertility. Dr. Tourani may remove fibroids through:

  • Laparoscopy (keyhole surgery)

  • Hysteroscopy (for fibroids inside the uterine cavity)

  • Open abdominal surgery (for very large or numerous fibroids)

The goal is to remove fibroids while keeping the uterus intact.

Hysterectomy (Uterus Removal)

This may be advised if:

  • Fibroids are large, multiple, or deeply embedded

  • You're done having children

  • Symptoms are severe and ongoing

  • Other treatments have failed

Types include:

  • Total Vaginal Hysterectomy (no abdominal cut, just through the vagina)

  • Total Laparoscopic Hysterectomy (Key-hole surgery through the abdomen. 

  • Laparoscopic-Assisted Vaginal Hysterectomy (a combined abdominal and vaginal approach)

  • Open Hysterectomy (open abdominal surgery for larger fibroids)

  • With or without ovary removal, based on your age and risk factors

Benefits of Surgery

✅ Relief from heavy bleeding and pain
✅ Restoration of normal pelvic anatomy
✅ Improved quality of life
✅ Reduced recurrence (especially with hysterectomy)
✅ Improved fertility in selected cases with myomectomy

Recovery and Aftercare

  • Minimally invasive surgery typically involves shorter hospital stays and faster recovery (1–2 weeks)

  • Open surgery may require 4–6 weeks of healing

  • Dr. Tourani provides clear post-operative care, pain relief plans, and follow-up appointments

  • Hormonal changes occur only if ovaries are removed