Myomectomy
Myomectomy
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Myomectomy is a surgical procedure to remove uterine fibroids (also called myomas) while preserving the uterus. It is often recommended for women who experience symptoms from fibroids but want to maintain fertility or avoid hysterectomy.
What is it?
What is it?
A myomectomy involves the surgical removal of fibroids — noncancerous growths in the muscular wall of the uterus. Unlike hysterectomy, which removes the entire uterus, myomectomy targets only the fibroids, allowing many women to retain their ability to conceive and carry pregnancies.
Types of Myomectomy Procedures
Types of Myomectomy Procedures
Hysteroscopic Myomectomy: Removal of fibroids inside the uterine cavity via a hysteroscope (no incisions). Best for small, submucosal fibroids.
Laparoscopic or Robotic Myomectomy: Minimally invasive surgery through small abdominal incisions using specialized instruments and a camera. Suitable for fibroids on the outer or within the uterine wall.
Abdominal (Open) Myomectomy: Traditional surgery with a larger incision on the abdomen for large or numerous fibroids.
When is Myomectomy Recommended?
When is Myomectomy Recommended?
Symptomatic uterine fibroids causing:
Heavy or prolonged menstrual bleeding
Pelvic pain or pressure
Frequent urination or constipation due to fibroid size
Infertility or recurrent pregnancy loss related to fibroids
Desire to preserve the uterus for future pregnancy
Benefits of Myomectomy
Relief from fibroid symptoms
Preservation of the uterus and fertility potential
Minimally invasive options available for quicker recovery
Improved quality of life and menstrual function
What to Expect Before and After Surgery
What to Expect Before and After Surgery
Before surgery:
Comprehensive evaluation including pelvic exam and imaging (ultrasound, MRI)
Discussion of surgical options and anesthesia
Preoperative instructions such as fasting and medication adjustments
After surgery:
Hospital stay varies from outpatient to a few days depending on procedure type
Recovery time depends on the surgical approach but generally ranges from 1 to 6 weeks
Mild to moderate pain and cramping are common; pain management will be provided
Follow-up visits to monitor healing and discuss future fertility plans
Frequently Asked Questions (FAQs)
Frequently Asked Questions (FAQs)
Q: Will my fibroids grow back after myomectomy?
A: Fibroids can recur in some women, but many experience long-term symptom relief.
Q: How long is recovery after myomectomy?
A: Recovery depends on the type of surgery. Hysteroscopic and laparoscopic procedures usually require 1-2 weeks, while open surgery may take 4-6 weeks.
Q: Can I get pregnant after myomectomy?
A: Yes, many women conceive successfully after myomectomy. Your doctor will guide you on when it’s safe to try.
Q: What are the risks of myomectomy?
A: Risks include bleeding, infection, scar tissue formation, and rarely uterine rupture during pregnancy (especially after open myomectomy).
Q: How do I decide between myomectomy and hysterectomy?
A: Myomectomy is preferred if you want to keep your uterus and maintain fertility. Hysterectomy is considered for severe symptoms or when childbearing is complete.
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