Multiple uterine fibroids and gallstones - which to treat first?

Patient's question:

Expert, hello!
I would like to consult you. Recently, a physical examination revealed multiple uterine fibroids, the largest measuring 46MM46MM42MM. At the same time, there are gallstones measuring 18MM15MM. The gynecologist has recommended surgery. Currently, the gallstones do not cause any symptoms, while the uterine fibroids only cause a sense of abdominal distension in the early stages. Should I have the gallstones removed first, and lose the gallbladder without symptoms, but always feel a sense of loss? Or should I have the fibroids removed first, as I've heard that removing gallstones later may lead to abdominal adhesions and risks. Please help analyze which should be done first. Thank you!

Doctor's answer:

It is recommended that you can first use surgery to treat gallstones. If uterine fibroids cause vaginal bleeding and symptomatic discomfort, they can be surgically removed for treatment. If there is no discomfort, it is possible to promptly observe and treat, meaning to promptly observe, and if there is no short-term enlargement causing discomfort, it can be left untreated.

📌 Related Posts