Uterine fibroids are non-cancerous tumors that grow within the muscular wall of the uterus. They are very common among women and can vary greatly in size, ranging from tiny growths to masses as large as a melon. A woman may develop a single fibroid or multiple fibroids at the same time.
Many women with uterine fibroids experience no symptoms and may not even realize they have them. However, fibroids can also cause a variety of health problems, including pelvic pain, heavy or irregular menstrual bleeding, and symptoms that interfere with daily activities. Treatment depends on several factors, including the patient’s symptoms, the size and location of the fibroids, and their overall health condition.
Mandaya Royal Hospital Puri offers a wide range of treatment options for uterine fibroids, including both non-surgical and surgical approaches tailored to each patient’s needs. One of the available procedures is robotic myomectomy using the Da Vinci Xi Surgical System, which enables minimally invasive surgery through small incisions. This advanced technology provides greater surgical precision while helping minimize blood loss and promote faster recovery.
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Robotic Da Vinci Xi Myomectomy at Mandaya Royal Hospital Puri



The Da Vinci Xi Surgical System is an advanced robotic-assisted surgical platform designed to enhance the surgeon’s precision, flexibility, and range of motion, particularly when operating in difficult-to-reach areas of the body.
The system features four robotic arms equipped with specialized surgical instruments and a high-definition endoscopic camera. These instruments are inserted through small incisions, eliminating the need for the large incisions typically required in conventional open surgery. As a result, patients benefit from a minimally invasive procedure with a lower risk of wound-related complications and a faster recovery.
Although robotic technology is used during the procedure, the surgery is entirely controlled by the surgeon through a high-definition three-dimensional (3D) console. The robotic arms never operate independently—they simply translate the surgeon’s hand movements into precise surgical actions throughout the procedure.
What Are the Benefits of Robotic Da Vinci Xi Myomectomy?


Several studies have shown that robotic myomectomy using the Da Vinci Xi Surgical System may offer several advantages over conventional open surgery, including:
- Shorter hospital stays. Because the procedure is performed through small incisions, patients generally recover more quickly, allowing for a shorter hospital stay compared with open surgery.
- Less blood loss during surgery. The high level of precision provided by the robotic system enables surgeons to operate more accurately, helping minimize damage to surrounding tissues and reduce intraoperative bleeding.
Can Uterine Fibroids Become Dangerous If Left Untreated?
If left untreated, uterine fibroids may lead to several complications, including:
- Iron-deficiency anemia caused by prolonged or heavy menstrual bleeding.
- Urinary problems, including urinary tract infections (UTIs), difficulty emptying the bladder, or urinary incontinence, particularly when large fibroids press against the bladder.
- Fertility problems, such as difficulty becoming pregnant or recurrent miscarriage, although these complications are relatively uncommon.
Read also: Benefits of the Da Vinci Xi Robotic Surgical System, Now Available at Mandaya Royal Hospital Puri
When Is Myomectomy Recommended?
Doctors may recommend myomectomy when uterine fibroids cause symptoms that significantly affect a patient’s quality of life or fertility. Surgery may be considered in the following situations:
- Persistent pelvic pain.
- Heavy menstrual bleeding or bleeding between menstrual periods.
- Difficulty completely emptying the bladder due to pressure from fibroids.
- A desire to preserve the uterus while planning for pregnancy in the future, making myomectomy a preferred option over hysterectomy.
The decision to undergo myomectomy depends on several factors, including the size, number, and location of the fibroids, the severity of symptoms, the patient’s overall health, and future pregnancy plans.
If you would like to learn more about uterine fibroids or robotic-assisted myomectomy using the Da Vinci Xi Surgical System, you can contact Mandaya Royal Hospital Puri via WhatsApp Chat, Book Appointment, or download the Care Dokter app from Google Play or the App Store to book appointments, monitor queue numbers, and access additional information.
References
- Healthdirect Australia. Uterine Fibroids. https://www.healthdirect.gov.au/uterine-fibroids
- Cleveland Clinic. Uterine Fibroids. https://my.clevelandclinic.org/health/diseases/9130-uterine-fibroids
- Cleveland Clinic. Da Vinci Surgery. https://my.clevelandclinic.org/health/treatments/16908-da-vinci-surgery
- Intuitive. Myomectomy. https://www.intuitive.com/en-us/patients/procedures/gynecology/myomectomy
- NHS. Fibroids. https://www.nhs.uk/conditions/fibroids/
- Cleveland Clinic. Myomectomy. https://my.clevelandclinic.org/health/treatments/15448-myomectomy

