Dr. Jamie Lipeles of Marina OB/GYN is among a very small group of physicians experienced in performing myomectomies for the removal of fibroids with the advanced, minimally-invasive da Vinci Robotic Surgical System®.
He has alleviated fibroid pain for hundreds of women throughout Marina Del Rey and Hawthorne with robotic-assisted surgery.
Fibroids are noncancerous tumors that grow in the wall of the uterus, either as a single tumor, or a cluster. Sizes vary widely, and in rare cases can become as large as a grapefruit. Fibroids are quite common, especially among women in their 40s and early 50s.
Fibroid tumors, which are medically known as myomas, tend to occur in the muscular wall that lines the uterus. Fortunately, it is rare for fibroid tumors to become cancerous. However, it can cause pain and discomfort for some patients, particularly when multiple uterine fibroids or large uterine fibroids are present.
What Are the Different Types of Uterine Fibroids?
The location of fibroids is the greatest factor in determining the severity of symptoms. Fibroids are also classified by their location in the uterus. These are:
Many women experience no symptoms at all, while for others symptoms can be debilitating, including pain and heavy menstrual bleeding, and pressure on the bladder that causes frequent urination.
Most concerning for many women is the fact that fibroids can cause infertility by changing the shape of the cervix. In addition, fibroids that become large during pregnancy can lead to a miscarriage. While uterine fibroids are highly unlikely to turn cancerous, many women seek treatment for these reasons. If you have a history of uterine fibroids or are experiencing any unusual changes to your menstrual cycle or urination habits, an appointment with Dr. Lipeles can rule out other causes. Your medical examination may include diagnostic imaging to detect uterine fibroids. Once confirmed, there are various treatment options available at Marina OB/GYN to help you find relief.
If there are no symptoms, treatment is generally unnecessary. If a woman is close to menopause, then a "wait and watch” approach may be advised. Otherwise, the first line of treatment is likely medication to correct menstrual irregularities and alleviate pain. If symptoms persist, treatment may entail:
This is a minimally invasive procedure performed by a radiologist to block blood flow to fibroids in the uterus for women who do not plan to become pregnant. In just a few months, the fibroids shrink in size, which provides relief for heavy menstrual bleeding, localized pain, and stress on the bladder or bowels.
UFE uses image-guided fluoroscopy to deliver embolic agents to the uterus where the fibroids are located through the use of a catheter in the groin. These agents are designed to block the arteries that sustain the fibroids with blood circulation, thus causing the fibroids to shrink dramatically over time.
UFE is an excellent treatment because it is effective for approximately 90% of women that undergo treatment. The UFE procedure takes about 90 minutes to perform. Moderate sedation is usually necessary during the treatment, so it is essential that a friend or family member is present to drive you home after the procedure. In certain cases, some patients may remain in the hospital overnight to be monitored. Patients begin to notice improvement about 2 to 3 weeks after treatment, with continual improvement until 6 months afterward.
A uterine myomectomy is a surgery that removes the fibroids while keeping the uterus intact. It can be performed in one of three ways.
Dr. Lipeles is among a very small number of physicians that can perform a myomectomy with the minimally-invasive da Vinci Robotic Surgical System for uterine fibroids. The da Vinci system entails only a few small incisions, versus a 6 to 12-inch incision (and later scar). This is far superior to traditional surgery. It is an outpatient procedure, in which risk or blood loss, infection, and pain is immensely decreased, as is downtime.
At Marina OB/GYN, conservative treatments that cause as little tissue damage as possible are often considered the best treatments. Removing fibroids without removing the uterus itself has a major benefit for patients that wish to have children. By avoiding a partial hysterectomy or total hysterectomy, our patients can fulfill their dreams of building a family without having to deal with the pain and discomfort caused by uterine fibroids.
A hysterectomy is the last resort treatment for persistent uterine fibroids that have failed to respond to less invasive treatment measures. A hysterectomy is a surgical treatment that removes the uterus, and, in some cases, other parts of the female reproductive system such as the cervix, fallopian tubes, ovaries, or surrounding structures.
Because of this, a hysterectomy renders a woman unable to bear children by natural means. This is due to the fact that a baby grows in the uterus (womb) during pregnancy. Of course, there are many other ways to build a family for a woman that must undergo a hysterectomy for medical reasons.
But for women that wish to carry a child, other treatments are the first line of defense. A hysterectomy is considered major surgery, but thanks to new advancements in medical technology, the discomfort, infection risk, and hysterectomy recovery time have decreased greatly. Dr. Lipeles also performs hysterectomies with the minimally invasive da Vinci Robotic Surgical System.
Benefits of the da Vinci Robotic Surgical System
With precise control and tiny incisions, this cutting-edge technology is changing the way myomectomy and hysterectomy are performed today. Compared to other methods of surgery, the da Vinci system has an advantage for several reasons. These include:
Dr. Jamie Lipeles has extensive experience treating uterine fibroids, helping hundreds of women in Marina Del Rey and surrounding areas get the relief they are seeking.
Dr. Lipeles takes the time to work with every patient to determine the best course of treatment to address your individual concerns. Don’t let discomfort or painful fibroids hold you back in life. At Marina OB/GYN, we are committed to helping patients find the latest medical treatments to achieve long-lasting relief.
Get Relief for Uterine Fibroids Today
To learn more about uterine fibroid remedies at Marina OB/GYN, schedule a private consultation with Dr. Jamie Lipeles today. You may call our friendly reception team or book an appointment using the easy online scheduling system. We look forward to meeting you.