Information about uterine fibroids
Minimally Invasive Therapy Unit & Endoscopy Training Centre
University Department of Obstetrics and Gynaecology
Royal Free Hospital
Pond Street
Hampstead
London NW3 2QG, UK

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A new website for gynaecologists interested in the surgical management of fibroids is now on line.

www.fibroidsurgery.org

Information about uterine fibroids from the Royal Free Hospital, London, UK

fibroids uk, Adam Magos Welcome to this web site. You will find information about uterine fibroids (leiomyoma), how they are diagnosed, and details of different treatments including hysteroscopic myomectomy, laparoscopic myomectomy and open myomectomy, as well as uterine artery embolisation. The web site has been specially written for patients and we have done our best to minimize the jargon.

The main purpose of this site is to provide you with details about the various treatments used to manage patients with fibroids so you can better decide, with your gynaecologist or general practitioner, which is the best in your case. All these treatments are available at the Fibroid Clinic at the Royal Free Hospital, including:

These may be of interest to you

We have prepared a summary of the indications/contraindications and advantages/disadvantages of currently available treatments and an explanation of the different types of myomectomies which you can download - see Treatment summary.

We have been using our new ovarian artery clamps in combination with a pericervical tourniquet to reduce bleeding at open myomectomy for almost one year, and the results appear to be as good as conventional triple tourniquets but without affecting ovarian blood flow during surgery. Click here to see it being used.

Myomectomies carried out at the Royal Free Hospital during 2005 - 2008:

 
2005
2006
2007
2008
Total
Hysteroscopic
20
29
16
32
97
Laparoscopic
17
15
16
9
57
Laparotomy
23
28
28
24
103
Vaginal
1
2
3
5
11
Total
61
74
63
70
268

Click here if you wish to download a hard copy of the entire website in pdf format (1.28 MB).

Our latest publications

Al-Shabibi N, Chapman L, Madari S, Papadimitriou A, Papalampros P, Magos A. Prospective randomised trial comparing gonadotrophin-releasing hormone analogues with triple tourniquets at open myomectomy. BJOG, 2009 Feb 4.

A, Gambadauro P, Tsibanakos I, Georgakaki A, Kakaidis I, Moiety F. Submucous fibroids should be removed in infertile women. BMJ 2009; 338: b126.

Madari S, Al-Shabibi N, Papalampros P, Papadimitriou A, Magos A. A randomised trial comparing the H Pipelle with the standard Pipelle for endometrial sampling at 'no-touch' (vaginoscopic) hysteroscopy. BJOG 2009 Jan;116(1):32-7.

Papalampros P, Gambadauro P, Papadopoulos N, Polyzos D, Chapman L, Magos A. The mini-resectoscope: A new instrument for office hysteroscopic surgery. Acta Obstet Gynecol Scand 2008 Nov 20:1-4.

Saha P, Pinjani A, Al-Shabibi N, Madari S, Ruston J, Magos A. Why we are wasting time in the operating theatre? Int J Health Plann Manage 2008 Nov 13.

Adam Magos BSc MB BS MD FRCOG
Consultant Gynaecologist
Royal Free Hospital
London

Site updated: 16th February 2009

How common are fibroids?

Uterine fibroids are very common. They are more frequent in women of Afro-Caribbean origin, being three times as common as in white, Hispanic and Asian women.

A recent study from the USA showed that fibroids are even more common than we thought. 35% of premenopausal women had a previous diagnosis of fibroid tumors. 51% of the premenopausal women who had no previous diagnosis had ultrasound evidence of fibroids. The estimated cumulative incidence of fibroids by age 50 was >80% for black women and nearly 70% for white women.

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