What Is Myomectomy (Fibroid Removal)?

A myomectomy is a surgical procedure performed to remove uterine fibroids, also known as leiomyomas. These are benign growths that commonly develop in the uterus during one’s childbearing years. However, they can be discovered at any stage of life. The key advantage of a myomectomy is that it removes the fibroids while leaving the uterus intact. This makes it the preferred option for women who wish to preserve their future fertility.

When Is a Myomectomy Needed?

A myomectomy is generally recommended when fibroids are severely affecting a woman's quality of life with heavy menstrual bleeding, pelvic pain, frequent urination and fertility issues. The decision to proceed with a myomectomy is made after a detailed consultation with the patient taking into consideration the size and location of the fibroids, symptoms, and reproductive plans.

Different Techniques of Myomectomy

There are several ways in which a myomectomy can be performed, depending on the severity of one’s condition, the patient’s preferences, and the gynaecologist’s expertise. These techniques include:

Possible Risks & Complications of Myomectomy

As with all surgical procedures, myomectomies come with certain risks and possible complications; though these are rare in the hands of an experienced gynaecologist and can be safely managed by a well-trained medical team.

Possible risks and complications include: infection, bleeding, damage to surrounding organs, scar tissue formation (adhesions), deep vein thrombosis and fibroid recurrence. Be sure to discuss the potential risks and benefits with your gynaecologist before deciding to proceed with the operation.

Recovering from Myomectomy

Recovery time after a myomectomy varies based on the type of procedure performed. Minimally invasive procedures like laparoscopic, hysteroscopic or robotic myomectomy typically have shorter recovery times ranging from two to four weeks, compared to a laparotomy which may take up to four weeks.

Following surgery, it is common to experience some pain and discomfort. Rest assured that this can be managed with the adequate analgesics prescribed. You should also follow your gynaecologist’s post-operative care instructions to ensure a smooth recovery.

FAQs About Myomectomy