Myomectomy

Our approach

Northwell gynecologic specialists understand that a myomectomy, the surgical removal of uterine fibroids, is not a cut and dry procedure. There are several approaches to this particular operation, such as laparoscopic, robotic, hysteroscopy and abdominal, and which procedure is best for you is determined by your individual condition.

In addition to deciding upon the exact treatment that will yield the best results for you, our professionals know how complex uterine fibroids can be; that’s why they perform vital and thorough tests to exclude diseases, such as cancer and adenomyosis, before making a recommendation. 

Overview

Fibroids are the most common tumors found in the female reproductive system. They are dense growths that are made of smooth muscle cells and fibrous connective tissue that develops in the uterus.

A myomectomy is the surgical removal of a fibroid, often performed as an alternative to a hysterectomy. Depending on factors such as the location of the uterine fibroid, this procedure can be performed in a number of ways. The operation is often done via a laparotomy, using tiny, specialized equipment that boosts your surgeon’s visual capacity without making large incisions. Unlike a hysterectomy, this procedure conserves your uterus and your childbearing abilities. 

Conditions

Factors affecting your eligibility for a myomectomy include:

  • Whether or not you want to have children
  • Whether or not your fibroids are affecting your fertility
  • Anemia (a condition in which your blood lacks red blood cells)
  • Heavy or prolonged menstrual periods
  • Abnormal bleeding between menstrual periods
  • Pelvic pain (caused as the tumor presses on pelvic organs)
  • Lower back pain
  • Pain during intercourse

Risk factors

Common risks of a myomectomy procedure include:

  • Regrowth of fibroids
  • Scarring
  • Pregnancy complications
  • Blood loss
  • Infection post-treatment

In rare cases, your surgeon may have to perform a hysterectomy to remove the uterus if irregularities in addition to fibroids are present, such as uncontrollable bleeding.

Treatment preparation

As you prepare for your myomectomy, make sure you:

  • Follow instructions – Your doctor will ask you to stop consuming solids and liquids the night before your surgery.
  • Ask questions – Our professionals are there to help you feel fully prepared for this procedure. We encourage you to ask questions about any concerns you may have.

Build healthy habits – Consider staying active and eating healthy to build up your strength for your upcoming operation.

What to expect after treatment

After your myomectomy, you may experience light vaginal spotting. Your physician will give you postoperative care instructions to assist you throughout every step of your recovery. 

Obstetrics & Gynecology

Our board-certified, subspecialty-trained doctors provide comprehensive primary and specialty care for women of every age.