Bengaluru, Karnataka, 22nd of May 2026 : Doctors at Fortis Hospital Cunningham Road, Bengaluru, successfully treated a 32-year-old woman police officer suffering from a rare and complex 8.5 cm cervical fibroid, preserving her uterus through advanced robotic surgery. Cervical fibroids are extremely uncommon, estimated to occur in nearly 1 in 10,000 fibroid cases, making them surgically challenging due to their deep location in the pelvis. The highly complex case was managed by Dr. Rubina Shanawaz, Additional Director – Uro-Gynaecology, Gynec-Oncology, Laparoscopic & Robotic Surgery, Fortis Hospital, Cunningham Road, and her team.

The patient was presented to Fortis with heavy and prolonged menstrual bleeding along with abdominal pain. Clinical evaluation and imaging revealed a large fibroid measuring approximately 8.5 cm, located in the cervix and lower part of the uterus. Unlike more common fibroids that grow in the body of the uterus, cervical fibroids are situated deep in the pelvis, surrounded by critical structures such as the bladder, ureters (urinary tubes), and rectum. Because of its location, the fibroid had displaced the uterus and stretched the bladder, with both ureters lying in close proximity, increasing the risk of urinary obstruction, potential kidney damage, heavy bleeding, and injury to surrounding organs during surgery. Over time, the fibroid had progressively enlarged, making the surgery more complex.
In many such cases, hysterectomy (removal of the uterus) is often recommended due to complexity of the procedure. However, after detailed counselling and evaluation, the Fortis team planned a uterus-preserving approach. The patient underwent a complex procedure involving removal of the fibroid while preserving the uterus. Given the close proximity of the fibroid to both ureters, the team also performed bilateral DJ stenting, wherein temporary stents were placed inside the ureters to help identify and safeguard them during surgery. The surgery lasted approximately 2 hours. The patient recovered well after the surgery, was mobilised early and discharged within 48 hours in a stable condition with follow-up advice.
Giving details on the case, Dr. Rubina Shanawaz, Additional Director – Uro-Gynaecology, Gynec-Oncology, Laparoscopic & Robotic Surgery, Fortis Hospital, Cunningham Road, said, “Cervical fibroids are rare and surgically challenging because they are located very close to the bladder and ureters. In this case, the fibroid was large and deeply positioned, which increased the risk of heavy bleeding and injury to nearby organs. Robotic surgery gave us better precision, magnified vision and improved control during dissection. This helped us safely remove the fibroid while preserving the uterus. Although hysterectomy is often advised in such large cervical fibroids, especially when they have grown over time, we were able to perform a successful uterus-preserving surgery with minimal blood loss and no injury to surrounding organs.”
Sharing her experience, the patient said, “I had been living with this condition for nearly two years and was worried about losing my uterus. The doctors at Fortis Cunningham explained the risks and treatment options clearly. I am relieved that the surgery was successful and that my recovery was smooth.”
Mr. Praveen Wali, Facility Director, Fortis Hospital, Cunningham Road, Bengaluru said, “This case highlights the importance of timely intervention and Fortis Hospital Cunningham Road’s capability in handling complex gynaecological conditions through advanced robotic surgery and multidisciplinary expertise. Preserving organ function while ensuring patient safety reflects our commitment to evidence-based and patient-centred care.”

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