What is a Myomectomy?
Myomectomy is a surgical procedure that removes uterine fibroids (also called leiomyomas) from the uterus while preserving the uterus itself. Unlike a hysterectomy, which removes the entire uterus, a myomectomy keeps the uterus intact, making it an option for women who still wish to have children or retain their uterus for personal or medical reasons.
There are different types of myomectomy based on how the fibroids are accessed:
- Abdominal myomectomy (also called open myomectomy)
- Laparoscopic myomectomy
- Hysteroscopic myomectomy
Each surgical approach depends on the size, number, and location of the fibroids, as well as your symptoms and surgical goals.
When Is Myomectomy Needed?
Myomectomy surgery is typically recommended when fibroids are causing severe symptoms and other treatments haven’t worked. Many women consider it when symptoms interfere with daily life or fertility becomes a concern.
So, what are the signs that might lead a doctor to suggest a myomectomy? Here are the most common situations where myomectomy may be considered:
- Heavy, prolonged menstrual bleeding that causes anemia
- Severe pelvic pain or pressure
- Difficulty conceiving or maintaining a pregnancy
- Rapid fibroid growth impacting the uterus
- Fibroids causing frequent urination or constipation
- Fibroids resistant to medications or less invasive treatments
What Happens During Myomectomy Surgery?
How does a surgeon remove uterine fibroids in abdominal myomectomy? During abdominal myomectomy, you’ll be under general anesthesia. Your surgeon will make a 4-6-inch incision across the lower abdomen, either horizontally (bikini line) or vertically. They will then open the uterus and carefully cut out the fibroids. Bleeding is controlled throughout, and the uterus is sewn back together in layers.
Recovery from myomectomy surgery can take 4 to 6 weeks, and you’ll likely need to stay in the hospital for a couple of days post-op. As with any major surgery, there are risks, like infection, scarring, or future complications with pregnancy.
Why We Don’t Recommend Myomectomy Surgery
At Fibroid Pain Center, we do not recommend myomectomy because it comes with significant downsides that patients are often not fully informed about. Here’s why we believe myomectomy surgery isn’t always the best option:
- Requires general anesthesia and hospital stay
- Longer recovery time compared to minimally invasive options
- High risk of fibroid regrowth, especially in younger women
- Potential for uterine scarring or adhesions
- Future pregnancy complications, including uterine rupture
- May still require a hysterectomy later if fibroids return
If you’re seeking a less invasive, safer option, myomectomy may not be the most suitable choice. That’s where uterine fibroid embolization (UFE) comes in.
UFE: The Ideal Alternative To Myomectomy
UFE is a non-surgical, minimally invasive procedure that blocks blood flow to uterine fibroids, causing them to shrink over time. It’s performed by an interventional radiologist using image guidance and a tiny catheter inserted through the groin or wrist. UFE treats all fibroids simultaneously, regardless of size or location, and offers a significantly faster recovery, typically within 7 to 10 days. You keep your uterus and avoid major surgery.
Here are the top reasons to consider UFE instead of myomectomy:
- No general anesthesia or large incisions
- Outpatient procedure with same-day discharge
- Treats multiple fibroids in one session
- Lower risk of fibroid regrowth
- Shorter recovery time with minimal downtime
- No uterine scarring or damage
Learn about our fibroid treatments to explore whether UFE is right for you.
Schedule A Consultation To Explore Safer Uterine Fibroid Treatment Options
If you’re struggling with fibroids, you don’t have to settle for surgery. There are less invasive options that can give you relief without compromising your uterus. Contact us to schedule a consultation at Fibroid Pain Center. Our team, led by Dr. Cortes, will help you understand your options and guide you toward the best treatment based on your unique needs.
FAQs
Is Myomectomy The Same As A Hysterectomy?
No. A myomectomy removes fibroids but leaves your uterus intact, making it ideal if you want to preserve fertility. A hysterectomy, on the other hand, removes the entire uterus and ends your ability to carry children.
Can You Still Get Pregnant After A Myomectomy?
Yes, many women do get pregnant after myomectomy surgery. However, depending on how deep the fibroids were and how your uterus was repaired, you might need to deliver by C-section or wait several months before trying to conceive.
How Long Does It Take To Recover From Myomectomy?
Recovery depends on the type of procedure. After abdominal myomectomy, you’ll likely need 4 to 6 weeks of recovery time. Less invasive methods like laparoscopic or hysteroscopic myomectomy may require 2 to 4 weeks.
Will Fibroids Grow Back After Myomectomy?
Yes. Myomectomy does not prevent the development of new fibroids. If you’re under 40, there’s a high chance they could regrow within a few years.
Is UFE Safer Than Myomectomy?
In many cases, yes. Uterine fibroid embolization (UFE) is non-surgical, has fewer complications, and treats all fibroids at once without removing the uterus. It’s an excellent option to consider if you’re looking for long-term relief.
