A myomectomy is a surgical procedure to remove uterine fibroids (benign tumors).
The purpose of myomectomy is to preserve the uterus, improve fertility, and alleviate fibroid-related symptoms such as:
- Heavy and painful menstruation
- Pelvic discomfort or pain
- Frequent urination
- Constipation
Myomectomy may be recommended for women with fibroids who:
- Want to get pregnant
- Experiencing severe symptoms affecting their quality of life
- Have large fibroids or multiple fibroids
Types of myomectomy:
- Abdominal myomectomy: Surgery is performed through an incision in the abdomen.
- Laparoscopic myomectomy: The operation is performed through several small incisions in the abdomen using a laparoscope (camera).
- Hysteroscopic myomectomy: Surgery is performed through the cervix using a hysteroscope (a camera inserted into the uterus).
The type of myomectomy that will be used depends on the size, location, and number of fibroids. During surgery, the surgeon makes an incision and removes fibroids, while preserving the uterus.
After myomectomy, patients usually need several days of rest. They may be prescribed painkillers and antibiotics to prevent infection.
As with any surgical procedure, there are some risks associated with myomectomy, such as:
- The bleeding
- Infection
- Damage to the uterus or other organs
- Scarring
- The need for repeated surgery
Myomectomy is usually very successful in relieving fibroid-related symptoms. Improved fertility is also observed in women planning pregnancy after myomectomy.
Depending on the specific situation, alternative treatments for fibroids may be available, such as:
- Medical treatment (hormone therapy, pain medications)
- Ultrasound myomectomy
- Uterine artery embolization
The decision on which treatment option is most appropriate is made jointly by the doctor and the patient, based on the individual condition of the patient.
