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Surgical Treatments for Fibroids

There are a variety of surgical treatments for fibroids. The type of treatment depends on a variety of factors including the size, location and number of fibroids, medical history, and childbearing status.  Surgeons at the UPMC Magee-Womens Hospital Fibroid Center choose minimally invasive techniques whenever possible.

Laparoscopic Radiofrequency Ablation

The laparoscopic radiofrequency ablation procedure, also known as “Acessa” uses thermal energy to shrink uterine fibroids. Shrinking the fibroids can improve bleeding and other symptoms due to size of fibroids. The best candidates for this procedure are premenopausal patients with fibroid size less than 8 cm and who do not desire future pregnancy. This procedure is performed under general anesthesia. The patient typically goes home the same day and recovery time is about 2 weeks.


Myomectomy is a procedure that removes visible fibroids from the uterine wall. Myomectomy leaves the uterus in place and may preserve the ability to have children. There are several ways to perform a myomectomy – abdominal, hysteroscopic, or laparoscopic. While a myomectomy may successfully control symptoms, fibroids may grow back after several years.


Hysterectomy is the surgical removal of the uterus and cervix. Hysterectomy does not include removal of the ovaries and therefore hormone levels are not affected.  Hysterectomy is usually recommended when the fibroids are causing symptoms, when they have grown rapidly, or when the fibroids are of large size. The advantage of hysterectomy in the treatment of fibroids is that it provides a true "cure.” When the uterus is removed, fibroids cannot grow back. Additionally, by removing the uterus, a patient will no longer have periods. This option is only for women who are not planning future pregnancies.

Fibroid Treatment Center

The Magee Fibroid Treatment Center combines the expertise of board-certified gynecologists and interventional radiologists with extensive experience in this minimally invasive procedure. These specialists offer consultation services for women seeking information treatment options for uterine fibroids.

For more information, please call the program coordinator at the Magee Fibroid Treatment Center: 412-641-4435.

Online Resources

University of Pittsburgh Department of Obstetrics, Gynecology & Reproductive Sciences