In the final installment of this 3 part series, Dr. McLucas talks about the importance of not putting off treatment for Uterine Fibroids due to the fear of spreading cancer from the usage of power morcellators. He explains the benefits of nonsurgical Uterine Fibroid Embolization.
If you missed part 2 of this series you can watch it here—Fibroid morcellation: Cancer risk part 2.
Pat: There has been a lot of news recently about a device called a power morcellator that is used in uterine surgeries. I’m here today with Dr. Bruce McLucas. Dr. McLucas is the founder of the Fibroid Treatment Collective in Beverly Hills. A lot of people are really concerned. If someone comes into you, they’ve got fibroids, or another doctor, and they’ve been advised to have surgery and they are told a power morcellator is going to be used, what do you do then?
Bruce: well the one thing we don’t want patients to do is put off needed treatment for their fibroids. I mean that is the worst alternative.
Pat: and things like this can scare people away.
Bruce: what we do is ask them “have you considered a non surgical treatment? Have you considered fibroid embolization? We can, without scalpels or sutures or morcellators, we can solve your problem without surgery. So we to add that into the mix so that women have a chance to look at that.
Pat: Right that seems a lot simpler and with a lot less risk involved. But as a gynecologists yourself, have you had need in the past to use the morcellator yourself?
Bruce: In the past I have, I have found in the right patient with the right fibroid, it has been an invaluable tool. I have to say I am waiting, like so many right now, for that FDA panel to come along and tell us from their intensive search what should be the use of it. We’re not using it now, no.
Pat: yeah, talk about the difference between fibroids and also the cancerous uterine growths that people are really nervous about. People think they are one in the same.
Bruce: They often look the same. The odds are so much in favor of your having a benign tumor and not a cancer, that I don’t want our viewers to watch this and think “Oh my gosh I want to have a hysterectomy or myomectomy” just because of the risk of cancer. No.
Pat: There are a lot of women, too, who worry about having an enlarged uterus or a uterus that is getting larger, should we really be afraid of that?
Bruce: During the years before the menopause, no. A large uterus or rapidly growing uterus, almost guaranteed it’s going to be benign.
Pat: I guess you’ll be watching to see what the FDA will say, but moving forward at the fibroid treatment collective it’s a great thing that you’ve got some good options, a very good one with Fibroid Embolization.
Bruce: We do we have a treatment that is no blood loss, no scar tissue, no recurrence, pat that is so important, especially if you are a young woman and this is your time to get those fibroids taken care of. You’re not ready to start a family, fibroid embolization is going to shrink those fibroids and you are going to wait 5, 10 years, a lot of our patients have, to start a family.
Pat: So, we don’t have to worry about it coming back because so many women have had that issue, have had fibroid treatment and then have to have it again.
Bruce: Exactly, that is a huge advantage to young patients and I would encourage them, and we do in our offices, to consider embolization if you are younger.
Pat: So what would you say to someone who is afraid to even step out and try to find out what to do about this? Because you’re right because you mentioned that the fear of what the process is going to be like is going to scare people away and that not a good thing is it.
Bruce: No I mean people who come to us at the fibroid treatment collective already know they have to do something they’ve already postponed during anything for years.
Pat: That’s how the fibroids grow
Bruce: that’s how they grow exactly, so for those patients we reassure them that there’s no morcellator involved that were not breaking up the tissue that the fibroids are going to shrink and pat very importantly if the fibroids don’t shrink and we do test within 2 weeks of the procedure we raise the suspicion that they may be that one in one tenth of one percent who has a tumor. SO we help identify that with the embolization.
Pat: Well that’s good to hear. Thank you for sharing all this information with us.
Bruce: thank you
Pat: I’ve been talking to Dr. Bruce McLucas who is the founder of the fibroid treatment collective in Beverly Hills. Thanks for watching.