20 Apr Myomectomy Surgery To Treat Fibroids
Myomectomy is a surgical procedure used to remove uterine fibroids while preserving the uterus. It may be recommended for women experiencing symptoms such as heavy bleeding, pelvic pressure, or fertility concerns, particularly when uterus preservation is important.
Key takeaways
- Myomectomy removes fibroids while keeping the uterus intact
- It may be suitable for women wishing to maintain fertility
- Different surgical approaches are used depending on fibroid size and location
- Minimally invasive and robotic techniques may support faster recovery
- A specialist assessment helps determine the most appropriate approach
What are fibroids?
Fibroids are non-cancerous growths that develop in the uterus. They may occur in different areas of the uterus and are often classified based on their location.
Treatment options vary and may include medications, radiological procedures such as uterine artery embolisation, or surgery. Myomectomy is a surgical option that removes fibroids while preserving the uterus.
Common symptoms of fibroids
Some women may not experience symptoms. When symptoms are present, they may include:
- Heavy or prolonged periods
- Painful periods
- Bleeding between periods
- Pelvic pain or pressure
- Backache
- Frequent urination
- Constipation
- Reduced fertility
When is myomectomy considered?
Fibroids may not require treatment if they are not causing symptoms. However, treatment may be considered when symptoms begin to affect quality of life or fertility.
Options may include:
- Non-hormonal or hormonal medications
- Uterine artery embolisation
- MRI-guided focused ultrasound
- Myomectomy (surgical removal of fibroids)
- Hysterectomy (removal of the uterus in selected cases)
The most appropriate option depends on your symptoms, fibroid characteristics, and future plans.
How myomectomy surgery is performed
The method used for myomectomy depends on the size, number, and location of fibroids, as well as the experience of the surgeon.
Hysteroscopic myomectomy
This procedure involves inserting a hysteroscope through the cervix into the uterus to remove fibroids. It is typically used for fibroids located within the internal lining of the uterus.
Robotic or laparoscopic myomectomy
This is a minimally invasive approach using small incisions in the abdomen. When using robot assisted technology, miniaturised instruments are used to remove fibroids with precision. This approach may result in less pain and a shorter recovery compared to open surgery.
Abdominal (open) myomectomy
This involves a larger incision in the abdomen and is generally reserved for extremely large or more complex fibroids when minimally invasive approaches may not be suitable.
What to expect after myomectomy surgery
Recovery can vary depending on the type of surgery performed and individual health factors.
Recovery time
- Hysteroscopic procedures are often day cases with recovery over a few days
- Minimally invasive procedures may require a short hospital stay and around one to two weeks of recovery
- Open surgery may involve a longer recovery period of several weeks
Pain and discomfort
Some discomfort is expected after surgery. Pain is typically less with minimally invasive techniques and can usually be managed with medication.
Fatigue
It is common to feel tired during the initial recovery period. Rest and gradual return to activity are recommended.
Bleeding
Light vaginal bleeding or spotting may occur for a short period after surgery.
Bowel function
Temporary changes in bowel habits may occur and usually resolve with time.
Follow-up care
Follow-up appointments are important to monitor recovery and address any concerns.
What to consider before surgery
Myomectomy may have implications for future fertility and pregnancy. The type of surgery performed may influence how future pregnancies are managed, including delivery planning.
It is important to discuss your goals, risks, and treatment options with a specialist before proceeding.
When to take the next step
If fibroid symptoms are affecting your daily life or fertility plans, a specialist assessment may help clarify whether myomectomy is appropriate for you.
You can learn more about treatment options on our fibroid treatment page or arrange a consultation via our contact page.