Myomectomy - Khobragade Multispeciality Hospital

What is Myomectomy?

Myomectomy is a surgical procedure to remove uterine fibroids (also called myomas), which are non-cancerous growths that develop in the uterus. Unlike hysterectomy, myomectomy preserves the uterus, making it an ideal choice for women who wish to retain their fertility or avoid complete removal of the uterus.

Myomectomy is a safe and effective surgical option to remove uterine fibroids while preserving the uterus. It offers relief from troubling symptoms, improves fertility outcomes, and enhances overall well-being. If you are experiencing symptoms related to fibroids, consult a qualified gynecologist to understand whether myomectomy is the right treatment for you.

Symptoms Requiring Myomectomy

Women with uterine fibroids may experience:

Heavy menstrual bleeding
Prolonged periods
Pelvic pain or pressure
Frequent urination
Constipation
Pain during intercourse
Difficulty getting pregnant

If these symptoms affect daily life or reproductive plans, myomectomy may be recommended.

Procedure or Treatment

Myomectomy can be performed in different ways based on the size, number, and location of fibroids:

Abdominal Myomectomy (Open Surgery):
- A large incision is made in the abdomen to remove fibroids.
- Suitable for large or multiple fibroids.
Laparoscopic Myomectomy:
- Minimally invasive, with small incisions and use of a camera-guided instrument.
- Faster recovery and less pain.
Hysteroscopic Myomectomy:
- No external incision; fibroids are removed through the vagina using a hysteroscope.
- Suitable for fibroids located inside the uterine cavity.

During surgery, the fibroids are carefully excised while preserving healthy uterine tissue. Recovery time varies depending on the type of surgery, from a few days (hysteroscopic) to several weeks (abdominal).

Prevention

Currently, there is no guaranteed way to prevent fibroids. However, maintaining a healthy lifestyle, managing weight, and balanced hormone levels may reduce risk. Regular gynecological check-ups help in early detection and management.

Benefits of Myomectomy

Preserves the uterus: Ideal for women planning future pregnancies.
Relief from symptoms: Reduces pain, heavy bleeding, and pelvic discomfort.
Improved fertility: Increases chances of conception if fibroids were causing infertility.
Enhanced quality of life: Enables women to resume daily activities without discomfort.

Types of Myomectomy

Abdominal Myomectomy (Laparotomy)
- Traditional open surgery.
- For large or deeply embedded fibroids.
Laparoscopic Myomectomy
- Keyhole surgery.
- Minimal pain and quick recovery.
Robotic Myomectomy
- Advanced form of laparoscopic surgery using robotic arms.
- Greater precision with minimal invasion.
Hysteroscopic Myomectomy
- Through the vagina and cervix.
- For submucosal fibroids within the uterine cavity.