The type of myomectomy that a patient receives depends on the location, number and size of the fibroids. There are three main ways this procedure can be performed:
Abdominal Myomectomy: Fibroids are removed through an incision in the lower abdomen. This method requires anesthesia and will require a hospital stay.
Laparoscopic or Robotic-Assisted Myomectomy: Tiny incisions will be made at the belly button, lower abdomen and both hips. Fibroids will be removed by small camera-guided instruments that are inserted through the incisions. This method will require anesthesia and typically does not require a hospital stay.
Hysteroscopic Myomectomy: Fibroids will be removed with an instrument that is inserted through the vagina into the uterus. While patients will usually be asleep for this surgery, it is an outpatient procedure that usually requires only a few hours of observation. Recovery can be done at home.
In many cases, you may not experience any symptoms from fibroids. They are discovered through a pelvic exam or ultrasound. When fibroids are symptomatic, common issues include:
Abnormally heavy menstrual bleeding
Frequent urination
Constipation
Pelvic pain
We may recommend removing fibroids if you are planning to bear children or you are having difficulty getting pregnant.
Since this surgery does not remove the uterus, a myomectomy is typically performed on younger women with fibroid issues who may want to become pregnant in the future. After a myomectomy, the patient’s chance of getting pregnant is increased, but not guaranteed.
To schedule an appointment call our gynecology office at (240) 252-2140 or request an appointment online.