Do fibroids grow back after surgery?

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When deciding upon a procedure to treat uterine fibroids, a primary factor women should consider is the likelihood of recurrence associated with the surgery or treatment. While a fibroid tumor itself does not return once it is removed from the uterus, new fibroids can and sometimes do appear in the same region over time, requiring for a repeat procedure. The incidence of fibroid recurrence varies according to a woman's individual risk factors and the treatment that she chooses to undergo for fibroid removal. This is why it is important to consider all treatments and their effectiveness in preventing new fibroid growth.

General Risk Factors for Additional Uterine Fibroid Growth

Women who fall into certain demographics may have a higher risk of fibroid recurrence. Risk factors most commonly linked with fibroid recurrence include the presence of multiple fibroids during the first procedure; the presence of small, unnoticeable fibroids during the first procedure, and having an initial procedure to remove fibroids many years before menopause.



A myomectomy procedure, a type of fibroid surgery that does not remove the uterus, might result in a recurrence of fibroids in some women. The risk is lower for women who undergo a myomectomy to remove just one fibroid. In this instance, studies have shown that 27 percent of patients experience a recurrence, and 11 percent of these patients require further surgery. If multiple fibroids are removed, then approximately 59 percent of myomectomy patients experience fibroid recurrence, and around 26 percent of these women require follow-up surgery

Acessa Procedure

The Acessa procedure, a fibroid treatment involving the laparoscopic treatment of uterine fibroids via radiofrequency energy ablation, is shown to result in a low instance of recurrence when studied in clinical trials. Studies showed that, annually, 5 percent of women who underwent the Acessa procedure required further treatment for uterine fibroids following the initial procedure. The Acessa procedure detects fibroids through ultrasound technology, which identifies most or all tumors regardless of size.


Because a hysterectomy involves the complete removal of the uterus, this type of fibroid surgery is the only one that ensures a non-recurrence of tumors. Approximately 30 percent of hysterectomies are undertaken for the purpose of complete uterine fibroid removal. However, hysterectomies are invasive and considered a drastic measure for removing fibroids. In addition to needing an extended recovery period after the major surgery, some women who have had hysterectomies to treat fibroids experienced issues such as infections and urinary and bowel problems.