Hi, prolapsed fibroids can be managed vaginally if small. Fibroids in the wall or outside uterus
can be managed by open or laparoscopic surgery
. Your gynecologist can decide if you need removal of just the fibroids or entire uterus (provided family is complete). If instrument availability is a problem, and you want laparoscopic removal, then surely you can take a second opinion
at a center where such surgeries are performed. Open surgery is not more risky, but you get a larger scar, sutures, and longer hospital stay and more pain than laparoscopic approach. Sometimes, large fibroids are better removed by open surgery. So decide with your gynecologist. good luck.