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Myomectomy

Myomectomy

WomanCare Clinic

Meriter WomanCare Clinic
20 S. Park Street, Suite 450
Madison, WI 53715
Telephone: (608) 417-5433 or 1-888-409-3852

UW Health - OB/GYN
20 S. Park Street, Suite 307
Madison, WI 53715
Telephone: (608) 287-2830

Definition

      
A myomectomy is a surgical procedure that removes fibroids from the uterus.

Myomectomy is recommended for women who have uterine fibroids and:

  • Want to avoid a hysterectomy
  • Have abdominal pain
  • Have abnormal bleeding
  • Want to preserve their uterus

Benefits of the Procedure

  • May improve fertility
  • Improves abnormal uterine bleeding
  • Improves fibroid symptoms
  • Improve abdominal pain

What is a Myomectomy?

      
Myomectomy is the removal of uterine fibroids in women who may want to have children or who want to keep their uterus. Women who are obese, older, or started menstruating at an early age are also at an increased risk of developing uterine fibroids. Fibroids usually grow slowly and they may get smaller after menopause.


The relationship between fibroids and infertility has not been fully discovered. If women have fibroids and are unable to get pregnant, or have consecutive miscarriages, then a myomectomy may be the solution. Many women do become pregnant after having a myomectomy.


A myomectomy is the surgical removal of fibroids and having a reconstruction of the uterus. The patient's doctor may prescribe a drug before having a myomectomy. The drug will stop estrogen production, which causes fibroids to shrink in size and makes them easier to remove.


Larger fibroids must be removed with an abdominal incision, but small fibroids can be detached by laparoscopy or hysteroscopy. Fibroids that are located in the outer wall of the uterus, and usually cannot be removed by hysteroscopy.


To perform an abdominal myomectomy, the doctor makes an opening in the abdomen and the uterus wall. An incision over each fibroid is made to have access to the growth. The uterine fibroids are removed and each opening in the uterine wall is stitched. The uterus will then be repaired to avoid the risk of bleeding or infection. Stitches are used to close the abdominal incision and a bandage is put in place.


To perform a laparoscopic myomectomy, the doctor inserts a thin telescope (laparoscope) through the patient's abdomen to view the pelvic and abdominal organs. Small incisions are made below the pubic hairline and a scissors is used to open the covering of the uterus. Fibroids are found underneath this covering and are removed from the uterus. The incisions are then closed with stitches.


A myomectomy doesn't reduce the likeliness of developing more fibroids. Microscopic fibroids that the doctor can't detect during surgery could eventually grow.


Rehabilitation

 

After having an abdominal myomectomy, the patient may need three to five weeks to recover before returning to normal activities. Women who have a laparoscopic or hysteroscopic myomectomy may recover in two to three weeks.

 

Risks

  • Infection
  • Blood Loss
  • Internal Scarring
  • Uterine wall may weaken