Myomectomy is a surgical process that aims to get rid of uterine fibroids especially if you are facing symptoms such as pain in the pelvic region, very heavy periods, frequent urination and irregular bleeding. During a Myomectomy fibroids are removed and the uterus undergoes repair. Once the procedure is done, the uterus returns to its normal function. Before going under the knife, your doctor will consider the fibroid size, the number of fibroids and the location of fibroids.

Who Is An Ideal Candidate For Myomectomy?

A myomectomy is a good option for a woman who wants to get fibroids removed but also wants to be able to get pregnant later, or wants to retain her uterus. The procedure is different from a hysterectomy. It involves the complete removal of the uterus. Depending on the size and also on the location of your fibroids, your doctor may recommend one of the following types of myomectomy:

Abdominal Myomectomy: Ideal for several or very large fibroids growing along the walls of the uterus.
Laparoscopic Myomectomy: Ideal for smaller and fewer fibroids.
Hysteroscopic Myomectomy: Ideal for very small-size fibroids.

What Happens During A Myomectomy?

A doctor will perform varying procedures depending on the type of procedure chosen.

During an abdominal myomectomy, the surgeon makes an incision over the pubic bone. They will then remove the fibroids from the uterine wall and stitch the uterine muscles back together. You will need to spend less than three days in the hospital after the procedure.

In the case of a laparoscopic myomectomy, the surgeon makes up to four incisions. Through one, they insert a laparoscope, and through the others, operative tools. The belly is filled with gas to help the doctor see the inside of the abdomen.

In the case of a hysteroscopy Myomectomy, the surgeon inserts a thin and lighted scope inside your vagina into the uterus. Usually, they will also fill a liquid in your uterus to help widen it, which helps them see the fibroids easily. A loop of wire is used to shave away the pieces of fibroids, which are washed away by the liquid. Usually, you can go home on the day of the procedure.

Is Myomectomy Effective?

Myomectomy is likely to give you relief from associated symptoms once the surgery is complete. However, the fibroids can return, and younger women are at greater risk of the same.

Conclusion

As with any surgery, there is some risk of complications arising during and after the myomectomy. It is best to consult only the best in the field to avail proper treatment and aftercare.

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1. Does Myomectomy leave a scar?

In the case of an abdominal myomectomy, a scar will be left an inch below the pubic hair line but it might fade over time. In other types of surgeries, scars may be smaller and might show when you wear a bikini.

2. Does Myomectomy affect future pregnancies?

Your chances of getting pregnant after myomectomy depends on the number of fibroids removed. The procedure is likely to weaken your uterus.

3. What to expect from a myomectomy?

If your uterine fibroids are causing associated symptoms, then myomectomy may be able to eliminate them and give relief to your symptoms. The type of myomectomy that your doctor performs on you depends on the size of your fibroids and their location in the uterus.

4. What are the possible complications and risks associated with myomectomy?

Although there are no significant risks associated with myomectomy, some possible complications that can arise are infections, excessive bleeding, damage to nearby organs, formation of a hole in the uterus, and scar tissue that could block the fallopian tubes or lead to fertility issues.

5. How to recover easily after a myomectomy?

It is best not to lift anything heavy after the procedure, irrespective of the type of myomectomy that you have undergone until the incisions heal properly. Always ask your doctor when it is safe for you to return to normal exercising and having intercourse. Also, seek advice if you are trying to get pregnant.