biolitec® in Gynecology

Minimally invasive laser therapy of myomas


In Focus

Diagnosis and gentle laser treatment for myomas

Period pain? Heavy menstrual bleeding and maybe even back pain?
Many complaints can indicate myomas - benign growths in the muscular layer of the uterus and ovaries. Often, larger fibroids located near the cervix or at the front and back of the uterus are discovered by the gynecologist during palpation. Small fibroids may not be found this way.

A subsequent ultrasound examination, performed through the vagina, is often used to confirm suspicions and determine the exact location and size of the myomas. Also, the performance of an MRI is not excluded if the ultrasound examination does not provide any or only inconclusive results.

In order to detect myomas located in the endometrium or in the muscle, uterus endoscopy (hysteroscopy) is often suitable, here the myomas can also be removed immediately, if the conditions allow it. During hysteroscopy, a tube is inserted through the vagina to allow a better view of the uterus from the inside. No anesthesia is needed for this, but sometimes partial anesthesia and dilation of the uterine cavity can be helpful.

A laparoscopy is performed under general anesthesia because a small incision is made in the belly button. This can identify myomas that are growing outside the uterus or on the outside of the uterus. Meanwhile, these can often be removed directly.

Those who suffer from symptoms should see a gynecologist, as secondary diseases such as bladder infections, anemia and childlessness can occur. Treatment can be done by taking medication. If this does not help, myomas can also be removed. This is also the case directly at diagnosis with HOLA laser therapy, in which the myomas are precisely removed using a laser light-conducting optical fiber. The treatment takes only 15 to 30 minutes, is performed under local anesthesia and on an outpatient basis. Since the tissue of the uterus is treated gently, there is usually no bleeding. There is also usually no scarring or adhesions. The recovery period is therefore very short and the likelihood of pregnancy can increase.