Benign tumors of the reproductive tract and uterus are called fibroids. A myomectomy is a minor surgery used to remove uterus fibroids without damaging the internal structures. This surgery is used to preserve fertility in women who wish to become pregnant.


What are fibroids?

Uterine fibroids are growths composed of muscle cells, which are much like those that form the uterus. Fibroids vary in size from the size of a pencil eraser to the size of a large melon. For many women, uterine fibroids do not cause symptoms, but some people experience pelvic pain, pressure, as well as heavy menstrual periods. The main reason for hysterectomy in the U.S. is uterine fibroids, which accounts for 30% of these procedures.


How do I prepare for the myomectomy procedure?

You are not permitted to eat or drink after midnight because anesthesia is used. Arrange to have someone drive you home, and leave all valuables at home. Before the scheduled procedure, discuss all your medications with the doctor. Certain blood-thinning agents must be held for several days. The doctor will discuss the risks and benefits of the procedure and have you sign a consent form. After you arrive at the medical center, you will change into a gown, and a nurse starts an IV line in your arm.


What can I expect during the myomectomy procedure?

After the nurse positions you on the procedure table, the anesthesiologist administers medicine to put you to sleep. The lower abdomen is cleaned with an antiseptic solution, and a tiny incisions are made. The myomectomy is done using laparoscopic technology, where a small, flexible, thin catheter is inserted into the uterus. The device uses a sensitive video camera to view inside the uterus and reproductive tract. The doctor uses a TV monitor to view the surgical area, located the fibroids, and use small instruments to remove them.


What happens after the myomectomy procedure?

After the small incisions are closed with stiches, a dry, soft bandage is applied. A nurse will monitor you in recover for around 40 minutes. Expect some soreness of the pelvic area. You are instructed to rest at home for 2-3 days, and gradually return to usual activities. In addition, you cannot soak in a tub or pool until stitches are removed.


Are fibroids a common cause of infertility?

Fibroids can obstruct the opening of a fallopian tube, which blocks sperm from entering and stops the passage of eggs. This decreases the chances of a woman getting pregnant.


What is the myoma coagulation procedure?

Myoma coagulation is shrinkage of a uterine fibroid. Also called myolysis, this procedure shrinks but doesn’t remove the growth. With this technique, a laser or electrical needle is passed into the fibroid, which is used to destroy the tissue and blood vessels that take blood to the fibroid. Once this is done, the tissue structures absorb into the uterus.


What risks are associated with the myomectomy?

As with any minor surgery, some risks must be considered. Complications rarely occur but include prolonged bleeding, organ trauma, infection, and nerve injury. Many women report mild soreness of the pelvis, and minor cramping is a usual occurrence.


What are the benefits of the myomectomy?

A hysteroscopic myomectomy is performed on submucosal fibroids, which are within or bulging into the uterine cavity. This procedure has many benefits, such as:


  • Quick recovery time.
  • Done as an outpatient procedure.
  • Can return to normal activity within a few days.
  • Complications occur in less than 1% of cases.
  • Studies show this procedure increases fertility.