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Robotic Reproductive Surgery

Uterine Fibroids

Uterine fibroids are benign (noncancerous) tumors of muscle tissue in the uterus. They are also called myomas or leiomyomas. Fibroids are usually found in or around the body of the uterus, but sometimes are in the cervix. There are three main types of fibroids based on where they are found:

  1. Subserosal are in the outer wall of the uterus (55%)
  2. Intramural are found in the muscular layers of the uterine wall (40%)
  3. Submucosal protrude into the uterine cavity (5%)

Uterine fibroids can reduce fertility in many ways:

  • Fibroids change the shape of the cervix affecting the number of sperm that can enter the uterus.
  • They change the shape of the uterus interfering with the movement of the sperm or embryo.
  • Fallopian tubes can be blocked by fibroids.
  • Fibroids can impact the size of the lining and the blood flow to the uterine cavity preventing embryo implantation or pregnancy.


Endometriosis is defined as the presence of endometrial-like tissue outside the uterus, which induces a chronic inflammatory reaction, scar tissue, and adhesions that may distort a woman’s pelvic anatomy. The symptoms of endometriosis include pelvic pain, pain during intercourse, pain during menses, as well as infertility. The principal aims of therapy include relief of symptoms, avoiding progression, and preventing infertility. Current treatments focus on a combination of medical, surgical, and psychological treatments that can improve the quality of life for women with endometriosis. A combination of medical-surgical treatment significantly enhances the fertility potential. Women with endometriosis desiring pregnancy are encouraged to pursue conception efforts.