Fibroid
Fibroid Removal in Sydney — Surgical Precision for Complex Uterine Pathology
A fibroid diagnosis is not always a surgical one. Small, asymptomatic fibroids in women who are not planning a pregnancy are often monitored rather than treated. But when a fibroid reaches a size that distorts the uterine cavity, compresses adjacent structures, or causes bleeding that does not respond to medical management, surgery becomes the clinically appropriate conversation.
Robotic fibroid removal in Sydney at this practice is performed by Dr. Tanushree Rao, an AGES-accredited advanced laparoscopic and robotic surgeon. This is for women whose fibroid burden requires operative intervention rather than continued watchful waiting.
When do fibroids require surgical assessment?
Not every fibroid needs an operation. The ones that do tend to share recognisable characteristics.
Surgical assessment is typically indicated when:
- Heavy menstrual bleeding has not responded to hormonal or medical treatment
- Fibroid size or location is affecting fertility or implantation
- Pressure symptoms on the bladder or bowel are affecting daily function
- Anaemia from chronic blood loss requires repeated treatment
- Fibroid growth has been documented across serial ultrasounds
- Large fibroid removal is being considered prior to a planned pregnancy
Fibroids that have distorted the uterine cavity or grown beyond 5 to 6cm in a symptomatic woman are generally worth a surgical consultation, regardless of age or fertility plans.
Myomectomy Versus Hysterectomy
Two surgical pathways exist for fibroid treatment. The right one depends on whether uterine preservation is a priority.
| Procedure | What it involves | When it is chosen |
|---|---|---|
| Myomectomy | Removal of fibroids with uterine preservation | Women wanting future fertility or uterine conservation |
| Hysterectomy | Removal of the uterus | Completed family, multiple fibroids, or failed myomectomy |
Robotic myomectomy in Sydney is the surgical approach used at Medgyne for women who want their fibroids removed without losing their uterus. The robotic platform allows for precise dissection and multilayer uterine reconstruction after fibroid removal, which is particularly relevant in cases where the fibroid is intramural and deeply embedded in the uterine wall.
Suturing the myometrium after fibroid excision requires the same precision as the excision itself. The robotic approach provides a degree of instrument control that standard laparoscopy does not replicate in this context.Many of the fibroids are removed by just Four small robotic port site incisions with large fibroid retreived vaginally .
Large And Complex Fibroids
Size changes the operative picture considerably. A fibroid measuring 20cm with distorted pelvic anatomy is a different surgical problem from one measuring 4cm in a straightforward location.
Large fibroid removal at this practice covers cases that fall outside the routine operative range. Cases involving significant uterine distortion, multiple fibroids across different intramural planes, or fibroids in anatomically challenging positions such as the broad ligament or cervix are assessed individually. The surgical plan is built around the specific anatomy rather than a standard protocol.
Surgical cases of this complexity are documented on this site as a clinical record of the operative scope this practice covers.
Women seeking a fibroid specialist in Liverpool, Kogarah, or Macquarie Park can access advanced assessment and minimally-invasive surgical treatment through Dr. Rao’s Sydney consulting locations.
What does the procedure involve?
Robotic fibroid removal in Sydney is performed under general anaesthesia through small laparoscopic ports. The robotic system provides three-dimensional visualisation and wristed instrument movement inside the pelvis.
Recovery following robotic myomectomy is typically shorter than open abdominal surgery. Most patients are discharged within one to two days and return to light activity within two weeks, depending on the number and size of fibroids removed.Many of these fibroids are retrieved vaginally by a technique called Morcellation giving excellent recovery and cosmesis post surgery.
A pre-operative consultation covers fibroid mapping from ultrasound or MRI, fertility considerations, anaesthetic planning, and expected recovery timeline.
Consultation Locations
Dr. Rao consults across four Sydney and NSW locations:
- Heavy menstrual bleeding has not responded to hormonal or medical treatment
- Sydney South West Private Hospital, Liverpool
- St George Private Hospital, Kogarah
- Macquarie University Hospital, North Ryde
- Southern Highlands Hospital, Bowral
GP referrals and self-referrals are both accepted. If you have been advised that your fibroids require surgical review, or if symptoms have continued despite medical management, a consultation with a surgeon who performs robotic myomectomy in Sydney is the appropriate next step.
Book a Surgical Consultation Today
In addition to fibroid management, Dr. Rao provides comprehensive care for a range of benign gynaecological conditions, including treatment from an ovarian cyst specialist in Sydney.
Phone: (02) 8104 1330
Email: admin@medgyne.com
Please bring any prior ultrasound or MRI reports to your appointment at Medgyne. Fibroid mapping is central to operative planning, and the more detailed the imaging available at consultation, the more precise the surgical discussion.
