Fifty-Seven
Fibroid Tumors Later
This is not a misprint or a
“typo” in the title. I was diagnosed with
fibroid tumors in 2000 and was advised that they were
''not serious and we'll just keep an eye on them."
Six years later in what should have been a routine
two and a half hour surgery lasted almost five and
one half hours.
MENSTRUAL
PAINS
Every since my late teens,
my menstrual pains have been almost unbearable. I
had heavy bleeding, severe cramps and began to experience
discomfort in my lower stomach. My OB/GYN suggested
that birth control would be the best route to take
in order to manage the bleeding and cramps somewhat.
Upon my next visit (a year later) that discomfort
in my lower stomach turned out to be fibroid tumors.
It was during this routine checkup that I was advised
that the fibroids were "not serious and we'll
keep an eye on them."
In 2003 I moved
to southwest Florida and the discomfort in my lower
stomach grew worse. A family member recommended that
I see Dr. Blaise Kovaz.
After
a routine checkup and some ultrasounds, it was concluded
that my fibroids were growing at a rapid rate. Turns
out that the prescription birth control may have caused
the swelling and growth of the fibroids.
Dr. Kovaz said the
ultrasounds showed about ten fibroids, some as large
as a baseball. The only real option was surgery, especially
if I had any desire of bearing children. From there
he suggested I see a specialist, Dr. Craig Sweet,
a specialist in Reproductive Medicine and Surgery.
MY ONLY OPTION
Dr. Sweet examined my situation, and could only recommend
surgery because of the size of the fibroids. The option
of not having surgery meant no chance of having children,
problems later on down the road and a possible hysterectomy
at a later age. Being upset and a bit nervous with
the thought of surgery, I went back to Dr. Kovaz and
asked him for a second opinion. He recommended Dr.
Jacob Glock.
Dr. Glock reaffirmed what Dr. Sweet suggested. He
did explain that I could undergo a series of shots
over a period of six months to help shrink the fibroids,
but it would still an operational procedure to get
them out.
After discussing the pros and cons with my boyfriend
and family, I made the decision to bypass the shots,
and just get the surgery. I wanted nothing more than
to have this over and done with.
For the next two months prior to my surgery date,
I began reading books, searching the Internet and
talking with other women who had fibroid surgery.
It was a long two months, but a bit comforting to
learn and correspond with many women who have been
through this procedure.
APRIL 11, 2006 –
SURGERY
My boyfriend took time off work and drove me to Health
Park, a highly recommended hospital in Fort Myers.
At my request, both Dr. Sweet and Dr. Kovaz were to
be in the operating room.
After filling out some more forms, and having my vital
signs checked again, I was walked into the prep room
where they began my IV and the anesthesiologist gave
me something to relax myself. From there I was wheeled
into the operating room. The last thing I can recall
was that the room was ice cold and I was staring at
the light and then I was out.
I had asked Dr. Sweet prior to my surgery what was
the most fibroids you ever removed from someone. He
said 36. Five and one half hours later that record
was broken as he removed 57 fibroids from me. They
ranged is size from a softball down to popcorn.
As the surgery went on well past the predicted two
and half hours, my boyfriend was sent home. The following
day Dr. Sweet met with my boyfriend and told him the
news that the dozen or so fibroids were actually 57,
therefore the longer surgery and longer recovery now
necessary.
RECOVERY
I slept little during the night, as the nurses kept
taking all my vitals and the anesthesia wore off.
When I awoke the next day I was in tremendous pain.
As soon as a nurse came in the room I asked her, "Do
I still have my uterus?" She checked my chart
and with a polite smile replied, "Yes, you still
have your uterus."
My mother flew down from Connecticut, and for the
next few days she and my boyfriend were at my side
in the hospital. Dr. Sweet encouraged me to get up
and start walking a bit, warning that it will be painful,
but necessary. He was right on both accounts. He also
told me that he did not even remove all of the fibroids
as there was too many and they were not prepared for
such a lengthy surgery.
My diet went from liquid, to soft food, to hard food
in the matter of a week and I lost 20 pounds. After
coming down off all the painkillers and medications,
I got sick a few times and twice ran a high fever.
But once my fever broke and settled I was finally
allowed to go home.
For the next six weeks I slowly gained my strength
back, and built up a regular appetite. The obvious
decision I made was not to go back on the pill, but
to use an alternative birth control method. Needless
to say my menstrual cycle is not as heavy and a lot
less painful, minus a serious cramp only now and then.
Also, if the fibroids should start to grow, at least
this time I know enough not to "keep an eye on
them," but to take preventive measures and get
rid of them using a non-surgical procedure.
Dr. Sweet’s Comments:
This patient is memorable
for a number of reasons. The first was that the uterus
was really quite large. The top of the uterus actually
reached the belly button, what we commonly call 20
weeks gestational age (i.e., the size of a singleton
pregnancy at 20 weeks gestational age). Since L.P.
had not had children yet, she wanted conservative
treatment. While I try not to discuss surgery on the
first visit (I would think it would scare most patients),
there were really very few options available. Hysterectomy
or myomectomy and keep the uterus.
The surgery was a true marathon, one of my longest.
I had to use just about every trick I could to remove
them quickly. The blood loss was amazingly low (500
cc) we never entered the cavity or seemed to damage
the insertion of the tubes into the uterus. I recall
removing almost all of them. With a quick calculation,
I spent about six minutes per fibroid which is generally
as quick as I can go. I finally had to let Dr. Kovaz
go so he could see patients as none of us were expecting
a five+ hour case.
I am concerned that it is quite likely that some new
fibroids will form soon. I haven’t seen her
back for a while and I hope she is well. This is also
a surgical record (57 fibroids) I would prefer to
never to break again!
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