A residency-trained OB-GYN, Dr. Keith Reisler stays up-to-date as a professional by being part of organizations like the American College of Obstetrics and Gynecology. Keith Reisler, MD, uses technologies like the hysteroscope to carry out minimally invasive treatment of fibroid tumors at his Plano, TX-based private medical office.
Fibroid tumors can grow in the uterus and cause problems like pain, abnormal bleeding, and difficulties becoming pregnant. Surgery, one option available to women with fibroid tumors, can excise fibroids without harming healthy uterine tissue, meaning patients can go on to have children.
In the past, doctors performed uterine fibroid surgery via a lengthy incision, but thanks to developments in surgical technology, that’s no longer necessarily the case. Instead, surgeons can leverage the hysteroscope, a long, thin instrument, to gain access to the uterus and remove the fibroids through the cervix. In this case, surgeons do not make any incision at all.
A prime benefit of hysteroscopic treatment is reduced recovery time, with most patients going home a few hours after the procedure and recovering entirely within a couple days.
Dr Keith Reisler
As a privately practicing obstetrician and gynecologist, Dr. Keith Reisler, of Plano, TX, has treated numerous cases of fibroid tumors. Keith Reisler, MD, focuses on the use of hysteroscopic resection of such tumors, so as to minimize the need for additional or more intensive treatment.
Hysteroscopic fibroid resection, also known as transcervical resection of fibroids (TCRF), uses a specially designed surgical instrument to remove growths in the uterus. The procedure uses a thin scope that can pass easily through the vagina and cervix and into the uterus, where a telescopic end enables the surgeon to view the growth. A resectoscope, which includes a wire loop and electrical current, then allows the surgeon to cut away the fibroid and draw it out through the vagina.
Performed under general anesthesia, the procedure is typically done on an outpatient basis. The operation itself lasts for approximately 60 minutes, while postoperative recovery phase can last up to 2 hours. The patient then returns home for an additional one to two days of recovery. The process can be ideal for patients with fibroids that grow from the inner lining into the uterine cavity, though those that are deeper in the uterine wall may be difficult to reach by endoscope.
Dr Keith Reisler
As a privately practicing obstetrician and gynecologist (OBGYN) in Plano, Texas, Dr. Keith Reisler offers treatment for a comprehensive range of women’s health issues. Keith Reisler, MD, has treated many patients with fibroid tumors.
Most often benign, fibroid tumors develop in the uterus as a collection of smooth muscle cells. They usually grow slowly and are asymptomatic in approximately 75 percent of cases. They may appear as a single tumor or as a cluster and can vary dramatically in size, the smallest being only a single millimeter in diameter and the largest growing to more than 20 cm.
Fibroid tumors stand out as the most commonly diagnosed gynecological tumor in women. They are most common in women between the ages of 30 and 40, although they can appear in any female patient whose body is actively producing estrogen.
Fibroids that grow in the uterine lining may lead to heavy and extended bleeding in menstruation, while those that grow on the outside of the uterus are more likely be asymptomatic. However, these sub-serous fibroids tend to be the largest type of fibroid tumor. The final type of fibroid, the intramural fibroid, is significantly more common and can cause uterine bulging. The type of fibroid, as well as its degree of symptomatic presentation, can help an OBGYN to determine whether surgical or nonsurgical treatment can provide the best relief.