What is myomectomy?
A myomectomy is the surgical removal of a fibroid, the most common tumors found in the female reproductive system. Fibroids are dense growths that are made of smooth muscle cells and fibrous connective tissue that develops in the uterus.
Myomyectomies are 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.
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
Northwell gynecologic specialists offer 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.
Common risks of a myomectomy procedure include:
- Regrowth of fibroids
- 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.
How to prepare
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.