Subserosal fibroid removal is a medical procedure used to eliminate a subserosal fibroid, a benign tumor that can compromise a woman’s reproductive health. Medical statistics reveal that one out of five women aged 30 and above has a fibroid. Subserosal fibroids are located just under the outer surface of the uterus.  There are other types of fibroids and locations as well.  This article highlights its different types of removal, the risks associated with the medical procedure, the recovery process, and alternatives to the removal. Read on to expand your knowledge.

What Is Subserosal Fibroid Removal?

The subserosal medical procedure involves different medical procedures that eliminate subserosal fibroids. Ideally, the medical procedure is intended for select cases, whereby the fibroids have severely distorted an individual’s uterine cavity or have compromised one’s well being. The fibroid removal procedure is not meant for small fibroids as they are not harmful.

If left unmanaged, this type of fibroids can cause detrimental health conditions like menorrhagia, abdominal pains, frequent urination, kidney damage, pregnancy complications, and infertility. Depending on the severity of your case, a subserosal fibroid removal may involve the removal of the uterus.

Types of Subserosal Fibroid Removal

Ideally, subserosal fibroid lacks a curative treatment and available medicines are intended to alleviate symptoms rather than provide a long-term solution. Surgical elimination of the fibroids is the most efficient way of treating them.

The conventional surgical procedures used to eliminate subserosal fibroids include:


Laparoscopy is the most effective outpatient procedure used to remove subserosal fibroids. In this medical procedure, a medical device is planted into the uterus cavity through a small incision made under the belly button. While in the abdomen, the instrument cuts and removes the fibroid. Health experts recommend this procedure because it is less risky and it takes a short period to recover since it only leaves a small scar.


Hysterectomy is an inpatient medical procedure that entails the removal of the uterus. The uterus can either be removed through the vagina or through an abdominal laparoscopy. After this surgical procedure, the patient will no longer receive her menstrual periods implying that she will also never get pregnant. It is, therefore, only recommended for women who do not want to get pregnant in future or those whose fibroids have severely distorts the uterus.

Who Needs A Subserosal Fibroid Removal?

The best candidates for the fibroid removal procedure are those with a severely distorted uterine or those with a fibroid measuring two or more inches in diameter. In general, the fibroid should be removed if it causes symptoms that lower your quality of life.

Subserosal fibroid removal may be a good option for:

  • People with heavy uterine bleeding associated with the subserosal fibroids.
  • Women whose fibroids start to grow during menopause.
  • People whose quality of life is severely compromised by the fibroids.
  • Women who have a urinary or bowel problem associated with fibroid.
  • Those with a fibroid that has started developing cancer or any other infection.
  • Women who can’t get pregnant due to fibroids.

Hysterectomy is the only way of preventing the growth of fibroid completely. As such, this medical procedure will successfully eliminate all complications associated with the growth of fibroids. On the other hand, laparoscopy offers temporary relief since the fibroid will regrow after some time.

Despite the fact that a hysterectomy will eliminate the fibroid problem, a laparoscopy is the better option for women who still want to get pregnant in the future. You ought to discuss with your doctor to help you decide on which fibroid removal procedure matches your medical needs.

Risk Involving a Subserosal Fibroid Removal Procedure

Regardless of the fact that both laparoscopy and hysterectomy fibroid removal procedures will improve your quality of life, they are associated with various health risks that you need to know.

Some of the risks involved with laparoscopy and hysterectomy fibroid removal procedures include:

  • The incision may get infected if it is not managed well.
  • You might experience abdominal pain after the surgical procedure.
  • Some people might experience nausea or vomiting after the medical procedure.
  • You might experience some pain when urinating or during a bowel movement.
  • Hemorrhage.

In some rare cases, you might experience an allergic reaction, your nerves and abdominal blood vessels might get damaged, and your menopause might come early.


The recovery period depends on the fibroid removal procedure and your biological make-up. For instance, laparoscopic fibroid removal is performed as an outpatient procedure that involves a small incision under your navel. Your doctor may prescribe some pain killers to manage discomfort and pain. The doctor will also advise you on how to care for the wound and when to expect a full recovery, which may be as soon as after two weeks.

Unlike laparoscopy, hysterectomy is an inpatient process that entails an extensive incision and general anesthetic. After the procedure, you will have a 24-48 hour hospital stay. Complete recovery will take six to eight weeks, before which time you are not expected to work.

Alternatives to Subserosal Fibroid Removal

Other alternatives to fibroid removal include:

Uterine artery embolization

The uterine artery embolization is a medical procedure that prevents blood supply to the fibroid. As such, the fibroid shrinks thereby reducing in size.


Some of the medications used to manage subserosal fibroids include nonsteroidal anti-inflammatory drugs, birth control pills, and Gonadotropin-releasing hormone, among other select medicines. The drugs are intended to reduce cramping or shrink the fibroids. Other alternatives include Laparoscopic myolysis and use of supercooled cryoprobes.

Summing Up

A subserosal fibroid removal refers to the medical procedures that eliminate a fibroid. If left unmanaged, this fibroid can cause abdominal pain, pregnancy complications, kidney damage, and infertility. Depending on your case, a doctor may recommend a laparoscopy or hysterectomy procedure. Other alternative ways of managing the fibroids include uterine artery embolization and medications like NSAIDs and birth control pills.

You need to consult your doctor if you are experiencing fibroid symptoms like frequent urination, persistent pelvic pressure and pain, and heavy periods. Have you ever undergone a subserosal fibroid removal? Feel free to share your experience to keep other readers informed.

IMAGE SOURCE: Deposit Photos

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