More About Myomectomy

Female surgeon

Uterine fibroids “affect up to 80% of women by age 50”, according to the National Institutes of Health. Fibroids are generally noncancerous growths, ranging in size from very small to melon sized. These growths may grow steadily or remain the same size for years, many times with no symptoms.

If you do experience symptoms related to uterine fibroids – such as abnormal bleeding, pelvic pain, bloating, or infertility - your provider may recommend a surgical procedure called myomectomy. An alternative to hysterectomy, myomectomy is recommended if you plan to have children and/or the fibrous may be causing fertility issues. The goal is to remove the fibroids, leaving your uterus intact.

The type of myomectomy performed will depend on the exact location of the uterine fibroid(s):

Abdominal Myomectomy

Also known as open myomectomy, this surgical procedure involves an incision in the lower abdomen to through which the fibroids are removed. Abdominal Myomectomy is inpatient surgery, requiring a hospital stay and recovery period at home.

Laparoscopic Myomectomy

This procedure involves four incisions in the lower abdomen. The abdomen is then filled with carbon dioxide and a thin, lighted telescope called a laparoscope is inserted to the doctor can see the reproductive organs. Long instruments are inserted through the other incisions to remove the fibroids. Laparoscopic Myomectomy is considered inpatient surgery, requiring a hospital stay with recovery at home.

Hysteroscopic Myomectomy

This option is only for submucosal fibroids, meaning they have grown into the uterine cavity, not within the wall or outside the uterus. This minimally-invasive, outpatient procedure involves inserting a hysteroscope through the cervix into the uterus, filling the uterus with fluid, and using instruments to remove the submucosal fibroids.

Most women who undergo myomectomy experience lighter menstrual flow and reduced pelvic pressure. As with any surgical procedure, you may experience some side effect, such as light bleeding and cramping. Contact your doctor should you experience heavy bleeding or wound infection. Though myomectomy is effective, new uterine fibroids may develop and require treatment.

If you are experiencing any of the symptoms or have concerns about uterine fibroids, contact your Capital Women’s Care provider.

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