There are several ways to perform a myomectomy
. These include:
A hysteroscopy involves using a small camera placed through the vagina into the uterus to remove the fibroids. This can be used for fibroids that are inside the uterus. However, not all fibroids can be removed this way, such as those deep in the wall of the uterus. Approximately 20 out of 100 patients require additional treatment within 5 to 10 years after this procedure.
Laparoscopy uses instruments that allow your doctor to view the inside of your abdomen on a video screen. It can also take pictures and videotape the procedure. The laparoscope is inserted through a small incision in your navel. Laparoscopy is used to diagnose fibroids and treat certain types of fibroids. Like hysteroscopy, not all fibroids can be removed this way.
Another surgical alternative is to burn the lining of the uterus with a laser to create a scar. This usually does not remove the fibroids, but it can provide a few years of relief from bleeding. This is not the most effective treatment for pelvic pressure and infertility
Another choice is to have a hysterectomy. This surgery is similar to a myomectomy, although with a hysterectomy, the entire uterus is removed. This will cure the fibroids and essentially eliminate the risk of them growing back. However, once the uterus is removed, you can no longer become pregnant. If you no longer desire to have children, this is usually the best surgical option.
Alternatives to a Myomectomy: Final Thoughts
If you have any questions about these possible alternatives to a myomectomy for your particular situation, you should discuss them with your doctor and decide which one, if any, is appropriate for you.
(Click Fibroids Treatment for more information on the various types of treatments available for fibroids.)