Myomectomy

Myomectomy is a surgical procedure that involves the removal of uterine fibroids, which are noncancerous growths that appear in the uterus during childbearing years. This procedure is typically performed when the fibroids are causing pain or heavy bleeding, or if they are interfering with fertility.

Indications

Myomectomy is often recommended for women who have fibroid-related problems, but who wish to become pregnant in the future. The procedure can alleviate symptoms such as heavy menstrual bleeding and pelvic pressure, and can improve fertility in some women.

Procedure

There are three types of myomectomy procedures: abdominal myomectomy, laparoscopic myomectomy, and hysteroscopic myomectomy. The type of procedure chosen depends on the size, number, and location of the fibroids.

Abdominal Myomectomy

In an abdominal myomectomy, an incision is made in the lower abdomen to access the uterus and remove the fibroids. This procedure is typically used for larger fibroids or when there are many fibroids to remove.

Laparoscopic Myomectomy

In a laparoscopic myomectomy, several small incisions are made in the abdomen. A laparoscope, a thin tube with a camera on the end, is inserted through one of the incisions to guide the surgeon in removing the fibroids.

Hysteroscopic Myomectomy

In a hysteroscopic myomectomy, a hysteroscope is inserted through the vagina and cervix into the uterus to remove fibroids that are inside the uterine cavity.

Risks

As with any surgical procedure, there are risks associated with myomectomy. These can include infection, blood loss, damage to surrounding organs, and the possibility of needing a hysterectomy if complications occur.

Recovery

Recovery time after a myomectomy varies depending on the type of procedure performed. Most women are able to return to normal activities within a few weeks.

See Also

• Hysterectomy
• Uterine fibroids
• Laparoscopy
• Hysteroscopy

Myomectomy Resources
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