Myoma and Polyp Surgeries

Myoma and Polyp Surgeries: Modern Uterine-Preserving Approaches

Myomas and polyps developing inside the uterus are the most common benign growths in women. Although they generally do not carry a risk of cancer, they can cause severe bleeding, pain, and pose an obstacle to having children; therefore, they must be treated with accurate surgical planning. Prof. Dr. Selçuk Erkılınç protects his patients’ health and fertility potential by basing these types of operations on the principle of “uterine-preserving surgery.”

What Are the Differences Between Myomas and Polyps?

Although both growths are found in the uterus, their structures and the tissues they originate from are different:

• Myomas: These are firm, benign tumors originating from the muscular layer of the uterus. They present with different symptoms depending on their size and location (outside the uterus, within the uterine wall, or inside the uterine cavity).

• Polyps: These are usually smaller, soft tissue pieces developing from the endometrium, which is the inner lining of the uterus. They are among the most common causes of irregular periods and intermenstrual bleeding.

Symptoms and Diagnostic Methods

Myomas and polyps may not always show symptoms; they are frequently detected during routine gynecological check-ups. However, the following complaints can be indicators of these growths:

• Prolonged and excessively heavy menstrual bleeding,

• Spotting or intermenstrual bleeding outside of periods,

• Anemia and associated fatigue,

• A sensation of fullness and pressure in the pelvic area,

• Difficulty getting pregnant or recurrent miscarriages.

During the diagnostic stage, Prof. Dr. Selçuk Erkılınç utilizes high-resolution Transvaginal Ultrasonography, SIS (Saline Infusion Sonography) performed by infusing fluid into the uterus, or Hysteroscopy, which provides direct camera visualization.

Minimally Invasive Surgical Solutions with Prof. Dr. Selçuk Erkılınç

In myoma and polyp treatment, open surgeries with large incisions have now been replaced by closed methods that prioritize patient comfort. The techniques applied with expertise by Dr. Erkılınç include:

1. Hysteroscopic Polypectomy and Myomectomy

An abdominal incision is not required for myomas and polyps located inside the uterine cavity (submucosal). With this procedure performed via the vaginal route, the problematic tissue is cleared with millimetric precision. The patient is discharged on the same day and quickly returns to daily life.

2. Laparoscopic Myomectomy (Closed Surgery)

This is a closed surgery performed under the guidance of a camera inserted through the navel for myomas located within the uterine wall or growing outward. While the myomas are removed with this method, the uterine tissue is repaired in the strongest possible manner.

3. Uterine-Preserving Approach

Preserving the integrity of the uterine tissue during the removal of myomas is of vital importance, particularly in young patients who wish to have children. Bringing advanced suturing and tissue management skills from the discipline of oncological surgery, Prof. Dr. Selçuk Erkılınç achieves successful results by restoring the uterine wall in the most optimal way for pregnancy.

Postoperative Process and Recovery

Following operations performed with closed methods, patients experience considerably less pain compared to open surgery. In this process, where the risks of infection and adhesions are minimized, the recovery rate is highly rapid. Shortly after the operation, our patients achieve a healthy menstrual cycle and can start planning for pregnancy.