
Dr Sam Daniels is a fibroid specialist in Sydney.
Sam has undertaken additional training in minimally invasive surgery and has the highest level of qualification for managing complex surgical cases.

Fibroids are typically non-cancerous (benign) growths of the uterus. This is a common condition that can be found in up to four out of five women in their lifetime. They can present in a number of ways, many women will be asymptomatic. Depending on the size and nature of the fibroid, some women can experience heavy menstrual bleeding, pain or even pressure sensations with a palpable mass in the abdomen.
There are three different locations of fibroids within the uterus:

Many patients may be asymptomatic and fibroids are found incidentally on a pelvic ultrasound or other imaging. However, depending on the location, size and nature of the fibroid, some patients may experience:
The size and nature of the uterine fibroid will dictate the management plan and treatment course.
Some fibroids do not require any intervention and will be monitored with imaging. However, should there be evidence of a rapidly growing fibroid this is cause for concern and follow up with a specialist is advised.
Some fibroids will not require surgical intervention or may require medical intervention first. This can include non-steroidal anti-inflammatory drugs, tranexamic acid, hormonal contraceptive pills or use of gonadotrophin-releasing hormones.
Other management can include uterine artery embolization, this would involve referral to an interventional radiologist.
Myomectomy is a surgical procedure to remove a fibroid without removing the uterus. This is the best option for women seeking to preserve their fertility. Myomectomy can be performed in multiple different ways and the size and location of the fibroid would dictate the surgical approach.
Hysterectomy is surgical removal of the uterus and this procedure may be offered to women who suffer from fibroids who have either completed their family or have gone through menopause. Hysterectomy may include removal of the fallopian tubes and ovaries at the time of the procedure, this will be dictated by the age of the patient, nature of the presenting condition and surgical approach.

Every patient is different and will have a unique bespoke journey for their treatment of their uterine fibroids.
Patients should expect an initial 45 minute consultation that can be performed face to face of via telehealth.
During the consultation:
A discussion on treatment planning will occur identifying your goals as a patient and should surgery be indicated there will be a detailed discussion about the processes, risks, costs, post-surgical management as well as time frames.
Fibroids are often diagnosed after a thorough history, pelvic examination and use of imaging such as a transvaginal pelvic ultrasound.
Fibroids can cause many different symptoms, such examples can include heavy periods, painful periods, pressure sensation or a notable mass or bulge in the abdomen.
No, not necessarily. It all depends on the size and location of the fibroid as well as the presenting symptoms of the patient.
Sam has the highest level of surgical training recognised in Australia. He is a level 6 AGES laparoscopic accreditation benign gynaecological surgeon, meaning he has advanced surgical skills specialising in minimally invasive surgery and complex surgical cases. A structured and considered surgical approach is essential when removing fibroids with the ability to mitigate against excessive bleeding or damage to the uterine structure.
Sam makes his patients feel at ease. His easy going personality instantly helps patients navigate complex personal issues whilst feeling safe, heard and involved in their health journey.
Sam consults across multiple locations for your convenience, you can book an initial consultation with him in any of his rooms in North Sydney, Northern Beaches Hospital, Manly or Mona Vale.
The surgical approach will depend on the size, number and location of the fibroids. Sometimes a multi-pronged approach is required. Fibroids can be removed hysteroscopically, laparoscopically or by robotic assisted surgery .