Myomectomy

Understanding Myomectomy

Myomectomy is a surgical procedure to remove uterine fibroids, which are non-cancerous growths that develop in or around the uterus. Unlike a hysterectomy, myomectomy preserves the uterus, making it an option for women who wish to maintain fertility.

Why is Myomectomy Performed?

Your doctor may recommend a myomectomy if you experience symptoms such as:

- Heavy or prolonged menstrual bleeding

- Pelvic pain or pressure

- Frequent urination or difficulty emptying the bladder

- Constipation

- Infertility or recurrent pregnancy loss

Types of Myomectomy

Depending on the size, number, and location of fibroids, your doctor may suggest one of the following types:

• Abdominal Myomectomy: Involves an open surgical incision in the abdomen to access and remove fibroids. This is usually recommended for large or multiple fibroids.
• Laparoscopic Myomectomy A minimally invasive procedure using small incisions and a camera to guide the removal of fibroids. It typically results in faster recovery.
• Hysteroscopic Myomectomy: Suitable for fibroids inside the uterine cavity. A hysteroscope is inserted through the vagina and cervix, allowing fibroid removal without external incisions.

Preparing for Myomectomy

- You may need imaging tests such as an ultrasound or MRI to assess the fibroids.

- Certain medications may be prescribed to reduce the size of fibroids before surgery.

- Avoid eating or drinking for several hours before the procedure if general anesthesia is used.

- Arrange for someone to assist you at home during the initial recovery period.

The Procedure

- Myomectomy is typically performed under general anesthesia.

- The surgeon will remove the fibroids while preserving the uterus.

- Depending on the method used, the procedure can take one to three hours.

Recovery After Myomectomy

- Recovery time depends on the type of procedure:

  - Abdominal Myomectomy: 4 to 6 weeks

  - Laparoscopic Myomectomy: 2 to 4 weeks

  - Hysteroscopic Myomectomy: 1 to 2 weeks

- You may experience mild to moderate pain, which can be managed with medication.

- Light vaginal bleeding or spotting is common for a few weeks.

- Avoid heavy lifting, strenuous exercise, and sexual intercourse until cleared by your doctor.

Potential Risks and Complications

While myomectomy is generally safe, risks may include:

- Infection

- Bleeding

- Scar tissue formation

- Uterine rupture during future pregnancies (more common after certain types of myomectomy)

- Fibroid recurrence

Fertility and Pregnancy After Myomectomy

- Many women successfully conceive and carry pregnancies to term after a myomectomy.

- Your doctor may recommend waiting 3 to 6 months before trying to conceive.

- In some cases, a cesarean section (C-section) may be recommended for delivery.

Conclusion

Myomectomy is an effective treatment for uterine fibroids, providing symptom relief while preserving the uterus. If you are experiencing fibroid-related symptoms or are concerned about your fertility, consult your healthcare provider to explore whether a myomectomy is the right option for you.