Myomectomy for Fibroids Surgery in Sadashiv Peth, Pune
Myomectomy is a surgery performed for removing leiomyomas or uterine fibroids. These are noncancerous growths occurring in the uterus, mainly during your childbearing years. The goal of this procedure is to reconstruct your uterus and remove the symptom-causing fibroids. In simple terms, it helps remove the tumor from your uterus.
There are three types of myomectomy:
- Abdominal myomectomy - In this, the doctor makes an open surgical cut in the lower belly for removing the fibroids.
- Laparoscopic myomectomy - This procedure allows the surgeon to make several small incisions through which the fibroids are removed. This can also be done robotically. Compared to abdominal myomectomy, this is less invasive and offers faster recovery.
- Hysteroscopic myomectomy - In this, the doctor uses a special scope for removing the fibroids through your cervix and vagina.
Signs that you need the procedure
If you have been experiencing the following symptoms because of the fibroids, the doctor will recommend this procedure:
- Frequent urination
- Heavy periods
- Irregular bleeding
- Pelvic pain
Why is myomectomy performed?
Myomectomy is performed for removing the fibroids that cause troublesome symptoms and interfering with your day-to-day activities. Here are some reasons why it is chosen over a hysterectomy for uterine fibroids:
- You want to bear children
- You want to keep the uterus
- Your doctor suspects that your uterine fibroids are interfering with your fertility
When to see a doctor
If you experience any of the following symptoms after your myomectomy, you should call a doctor:
- Severe pain
- Heavy bleeding
- Trouble breathing
Request an appointment at Apollo Spectra Hospitals, pune
Call 1860-500-2244 to book an appointment
Preparing for the myomectomy
Before the procedure, your doctor might prescribe some medications to reduce the fibroids’ size making them easier to remove. You might also have to take gonadotropin-releasing hormone agonists that block the production of progesterone and estrogen. This will result in temporary menopause. Your menstrual period will return once you stop taking the medications.
You might also have to undergo a few tests to ensure that you are healthy for the procedure. The tests will be decided on the basis of your risk factors and might include blood tests, pelvic ultrasound, MRI scan, and electrocardiogram.
Even though the procedure has a low rate of complications, there are some unique challenges associated with it. Here are some complications of myomectomy:
- Excessive blood loss
- Scar tissue
- Childbirth or pregnancy complications
- The rare possibility of a hysterectomy
- The rare possibility of spreading a cancerous tumor
For the myomectomy procedure, the doctor will start by making an incision in your lower abdomen. They will separate the muscles and cut the tissue to expose your uterus. After this, they will remove the fibroids. In some cases, you will have to take medication for reducing the blood loss during the procedure. Once the doctor has removed the fibroids, they will stitch each tissue layer in the uterus. They will stitch the incision area shut and the procedure will be completed.
Once the myomectomy procedure is completed, you will be able to get relief from all the bothersome symptoms like pelvic pain and pressure and excessive menstrual bleeding. Also, if you have undergone the laparoscopic myomectomy, chances are that you will have good pregnancy outcomes about a year after the surgery. It is advised that you wait three to six months after your myomectomy before you try to conceive. This will give your uterus enough time to heal.
There are some risks after the procedure. But, these can be managed easily through proper communication with the doctor. Prior to getting pregnant, you should inform your doctor about your myomectomy procedure. This will help them make important decisions about how and when you deliver. In most cases, you might have to get a cesarean section so that you don’t have your uterus labor. Also, since your uterus has been through an operation, there might be some weakness in your uterine muscle. If you are experiencing vaginal bleeding or uterine pain while being pregnant, you have to let your doctor know as it could be a sign of uterine rupture.
Yes, it is possible that your fibroids might grow back after the procedure. In such cases, you will need repeat surgery.
The recovery will depend on the type of myomectomy you have. Laparoscopic myomectomy will require rest for one to two weeks. Abdominal myomectomy will take longer.