Fibroid Surgery in Nairobi — Fertility-Sparing, Minimally Invasive Care
Uterine fibroids affect up to 70% of women — but they don't have to define your health, fertility, or quality of life. Prof. Rafique Parkar offers fertility-preserving laparoscopic myomectomy and hysteroscopic techniques trusted by patients across East Africa.
Understanding fibroid surgery
Uterine fibroids (leiomyomas) are non-cancerous growths of the muscular wall of the uterus. They are the most common benign tumours in women of reproductive age and are especially prevalent among African and East African women, often appearing earlier and growing more aggressively than in other populations.
Fibroids range from tiny seedlings to bulky masses that can distort the uterus, press on neighbouring organs, or interfere with fertility. Some women have no symptoms at all; others experience life-limiting bleeding, pain, and pressure that quietly shape every day of their lives.
At KLASS, fibroid care begins with careful listening. A dedicated consultation with Prof. Parkar clarifies what type of fibroid you have, how it's affecting your life and fertility goals, and which of several minimally invasive options is safest and most effective for you — from watchful waiting through hysteroscopic resection, laparoscopic myomectomy, and, when indicated, laparoscopic hysterectomy.
Symptoms
When to seek expert care
- Heavy or prolonged menstrual bleeding, often with clots
- Menstrual cycles that last longer than 7 days
- Pelvic pressure, bloating, or a feeling of fullness in the lower abdomen
- Frequent urination or difficulty emptying the bladder
- Constipation and pressure on the bowel
- Pain during intercourse (dyspareunia)
- Lower back or leg pain from large posterior fibroids
- Iron-deficiency anaemia and persistent fatigue
- Difficulty conceiving or recurrent miscarriage
Causes
What we currently understand
- Genetic changes in uterine muscle cells that trigger abnormal growth
- Hormonal influence — oestrogen and progesterone stimulate fibroid growth during reproductive years
- Local growth factors that regulate tissue maintenance and repair
- Extracellular matrix changes that make fibroids fibrous, dense, and rubbery
Risk Factors
Who is most affected
- African ancestry — women of African descent develop fibroids 3× more often and at younger ages
- Family history of fibroids in a mother or sister
- Age between 30 and 50 years
- Early onset of menstruation before age 10
- Obesity and higher body-mass index
- Vitamin D deficiency
- Diet high in red meat and low in green vegetables and fruit
- Nulliparity — never having carried a pregnancy
Diagnosis
A careful, layered workup
- Detailed medical, menstrual and fertility history taken personally by Prof. Parkar
- Pelvic examination to assess uterine size and mobility
- Transvaginal and abdominal ultrasound — the first-line imaging test
- MRI pelvis for complex or very large fibroids where surgical planning matters
- Hysteroscopy — a slim camera passed through the cervix to inspect the uterine cavity
- Saline infusion sonography for submucosal fibroids affecting fertility
- Full blood count and iron studies to detect anaemia from prolonged bleeding
A tailored plan — not a template.
Every option is discussed openly with you, with the risks, benefits and alternatives laid out clearly.
Watchful Waiting
For small, asymptomatic fibroids in women who are not planning imminent pregnancy — with structured follow-up.
Medical Therapy
GnRH analogues, ulipristal, tranexamic acid, and hormonal options to control bleeding and temporarily shrink fibroids.
Hysteroscopic Myomectomy
Fibroids inside the uterine cavity are removed through the cervix — no incisions, day-case procedure, rapid return to work.
Laparoscopic Myomectomy
Keyhole removal of fibroids from the uterine wall with meticulous reconstruction to preserve fertility.
Laparoscopic Hysterectomy
Complete keyhole removal of the uterus when family is complete and symptoms are severe — with same-day or next-day discharge.
Uterine Artery Embolisation
A radiology-based option discussed in a multidisciplinary setting when appropriate.
Small incisions. Real recovery.
Prof. Parkar pioneered laparoscopic gynecology in East Africa. Advanced keyhole and hysteroscopic techniques mean less pain, minimal scarring, and a faster return to life.
Discuss Your Options- Prof. Parkar has pioneered laparoscopic myomectomy in East Africa, performing thousands of procedures with a strong record of subsequent healthy pregnancies.
- Small 5–10 mm incisions replace the traditional 15–20 cm open cut, preserving abdominal muscle strength.
- Advanced multi-layer uterine suturing techniques restore the uterus to a strong, pregnancy-ready state.
- High-definition cameras allow removal of tiny satellite fibroids that would be missed by touch alone.
- Blood loss is dramatically reduced through vasopressin injection, controlled dissection and modern energy devices.
Recovery
What to expect after treatment
- Most patients walk within hours of surgery and go home the same day or after one night.
- Return to desk-based work: 7–10 days on average.
- Return to gentle exercise: 2–3 weeks; full activity typically by 6 weeks.
- Pregnancy is generally advised after a 6-month uterine healing window, guided by fibroid size and location.
- Follow-up visits at 2 weeks, 6 weeks and 6 months, with ongoing fertility and gynecology care as needed.
Why patients choose this approach.
A trusted name in African gynecology.
25+ Years of Pioneering Work
Prof. Parkar introduced laparoscopic gynecology to East Africa and continues to train surgeons across the continent.
FRCOG · EBS Board Certified
International qualifications and continuous participation in world-leading gynecology bodies.
Personal, Unhurried Care
Every consultation is private, thorough and explained in plain language — never rushed.
Complete Multidisciplinary Team
Anesthesia, imaging, fertility and, when needed, oncology colleagues working as one team.
Questions about fibroid surgery
Speak to Prof. Parkar today.
Choose a time that works for you — online or in-person at Aster Healthcare, 3rd Parklands Avenue, Nairobi. Same-day responses and full pre-consultation guidance.