The art and science of surgery for uterine fibroids

This website is for all gynaecologists interested in the surgical management of uterine fibroids. Be it by laparotomy, hysteroscopy, laparoscopy or vaginal surgery, we hope you will find a useful resource. The written word is a remarkably poor teacher of surgery, and the aim of this website is to provide a forum for surgical know-how by supplementing verbal descriptions with photographs, videos and step-by-step guides.

Uterine fibroids (leiomyoma) are common, and myomectomy remains the optimum treatment for a large proportion of symptomatic women. Many gynaecologists are however reluctant to undertake myomectomy, particularly open myomectomy for multiple large fibroids, because of a fear of intra-operative haemorrhage and other complications. True, myomectomy is major surgery, but it is also a very effective procedure which must not be denied women in favour of less appropriate therapies. Relatively few gynaecologists perform laparoscopic myomectomy, and even fewer carry out (or even know of) vaginal myomectomy. Similarly, many women who are managed by hysterectomy for uterine fibroids undergo laparotomy rather than vaginal (or laparoscopic) hysterectomy despite the advantages of these routes. Finally, most of us know relatively little about newer techniques such as uterine artery occlusion. Our hope is that will provide gynaecologists with invaluable practical information and knowledge about all these treatment options.

Let your colleagues see your surgery

If you have a good quality recording of a myomectomy, uterine artery occlusion or hysterectomy for fibroids that you have done, why not arrange for it to be shown on All digital formats are suitable, we only ask that that you have permission from the patient and the recording be edited to a reasonable length. Your operation will be added to the Surgery section together with any pertinent comments and full acknowledgement of your contribution.

Do you have any techniques or tips you can share?

We encourage all our colleagues to share their surgical knowledge and experience. Everyone has their particular way of operating, and know of techniques or tips which can make a potentially difficult operation easier or safer. It is likely that many of your colleagues are not aware of these useful surgical steps, so why not contact us with a brief summary so we can arrange for full details with photographs and/or movies to be included in the Techniques section. All contributions will be acknowledged on the web site.

Any other suggestions?

Please contact us with any suggestions of how could be improved to make it a better resource for gynaecologists with an interest in the surgical management of uterine fibroids. We look forward to hearing from you all!

Consultant Gynaecologist
Royal Free Hospital
Pond Street
London NW3 2QG