Myomectomy

A myomectomy, or removal of an abnormal muscular growth, is a procedure commonly used to remove fibroids from the uterus. This is a major surgery, with risks similar to a hysterectomy. Following a myomectomy, most women experience some improvement in their symptoms. However, because pelvic pain and discomfort can be symptoms of other gynecologic disorders, this relief may be limited and symptoms may return at a future date.

 

An Introduction to Myomectomy

An abdominal myomectomy is a procedure that is used to remove abnormal muscular growths, called uterine fibroids, from the uterus and improve fibroid symptoms. Although the results of a myomectomy can vary, most women experience some improvement in their symptoms after the surgery.
 

Preparing for a Myomectomy

Myomectomy is usually performed on an inpatient basis, which means that you will stay in the hospital after the procedure. For your particular situation, you will be given specific instructions as to where and when to arrive at the medical facility, how to prepare for your myomectomy, and what to expect the day of and the days following your surgery.
 

Types of Anesthesia Used for a Myomectomy

Anesthesia is used to eliminate the pain felt during a myomectomy. The two most common types of myomectomy anesthesia used are spinal and general anesthesia.
 

The Myomectomy Surgery

Depending on the size and location of the fibroids, your surgeon will make a 6- to 9-inch incision, or cut, across your lower abdomen.
 This incision may be either horizontal or vertical on the skin.
 
After opening your abdomen, your doctor will carefully inspect your organs, including the uterus, and check the size, location, and number of fibroids that are present. If fibroids are found, and your doctor feels that they may be the cause of your problem, they will be removed. The method used to remove the fibroids will depend on their size and location.
 
(Click Myomectomy Surgery for more information on the actual procedure.)
 
(Myomectomy Continued: Page 2)
Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD