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Myomectomy

Myomectomy is a procedure in which uterine fibroids are surgically removed from the uterus. Uterine fibroids (also known as myomas) affect 30% of women. While many fibroids do not need treatment, others can cause abnormal uterine bleeding, pressure, pain, or other symptoms.

This procedure allows the uterus to be left in place and, for some women, makes pregnancy more likely than before. Myomectomy is the preferred fibroid treatment for women who want to become pregnant. After myomectomy, your chances of pregnancy may be improved but are not guaranteed.

Surgery

Abdominal myomectomy- An abdominal myomectomy is the removal of fibroids through an incision in the abdomen. It’s usually done through a horizontal ("bikini") incision, even for large fibroids. There is no limit to the size or number of fibroids that can be removed. Abdominal myomectomy is done in a hospital, and women usually can go home within 48 hours of surgery.

Laparoscopic myomectomy- Fibroids that are attached to the outside of the uterus by a stalk (pedunculated myomas) are the easiest to remove laparoscopically. Many subserous myomas (close to the outer surface) can also be removed through the laparoscope. The advantage of a laparoscopic myomectomy over an abdominal myomectomy is that several small incisions are used rather than one larger incision. In some cases, this approach uses a surgical robot to perform the surgery.

Hysteroscopic myomectomy- In which your surgeon accesses and removes fibroids using instruments inserted through your vagina and cervix into your uterus.

Symptoms

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  • Heavy menstrual bleeding
  • Prolonged menstrual periods — seven days or more of menstrual bleeding
  • Pelvic pressure or pain
  • Frequent urination
  • Difficulty emptying your bladder
  • Constipation
  • Backache or leg pains
  • Painful menstrual bleeding
  • Menstrual bleeding between periods
  • Vaginal discharge
  • Lower abdominal fullness
  • Pain during sexual intercourse

Reproductive Symptoms

  • Infertility
  • Female infertility
  • Recurrent spontaneous abortion
  • Early onset of labor
 
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