Uterus Preserved Despite 35 Fibroids: Complex Fertility-Sparing Surgery Offers Renewed Hope for Motherhood

Udaipur: In a significant achievement in the field of advanced gynaecological surgery, doctors at Geetanjali Hospital, Udaipur, successfully performed a complex fertility-preserving surgical procedure on a woman diagnosed with 35 uterine fibroids (leiomyomas), while successfully retaining her uterus. The patient had a history of recurrent pregnancy loss (RPL), with multiple uterine fibroids identified as a significant clinical concern. Since she wished to conceive in the future, preservation of the uterus was a key therapeutic objective. Under the leadership of Dr. Archana Sharma, the surgical team performed a Multiple Myomectomy, a uterus-preserving procedure involving the surgical excision of fibroids from the myometrium (uterine muscle), while retaining the uterus. All 35 fibroids were successfully removed, making this a technically challenging procedure requiring careful surgical dissection and reconstruction of the uterine tissue. Dr. Archana Sharma explained that uterine fibroids are benign smooth-muscle tumours of the uterus. Depending on their size, number and anatomical location, particularly when they distort the endometrial cavity, fibroids may adversely affect fertility and pregnancy outcomes. In selected patients, myomectomy can be considered as a fertility-preserving treatment option. She further emphasised that appropriate clinical evaluation, imaging and individualised surgical planning are essential in managing patients with multiple uterine fibroids, particularly those seeking to preserve their reproductive potential. Following the successful procedure, the patient's uterus has been preserved, providing an opportunity to consider future conception. The outcome represents an important step towards fertility preservation and highlights the role of advanced gynaecological surgical intervention in managing complex uterine fibroid cases. Surgical Team: Dr. Archana Sharma, along with the dedicated Operation Theatre and Anaesthesia Team of Geetanjali Hospital, Udaipur.