Myomectomy is a surgery done to remove fibroids, reduce heavy menstrual bleeding, decrease pain and pressure and potentially improve fertility. As myomectomy does not remove the uterus, it is the only fibroid treatment that may actually improve the chances for women to become pregnant.
Types of Myomectomy
Laparoscopic or Robotic-assisted Myomectomy
Laparoscopic and robotically-assisted laparoscopic myomectomies use small, dime-sized incisions in the lower stomach to access the uterus. Surgeons use thin instruments and a camera (laparoscope) to remove the fibroids. Often, this is an outpatient procedure and patients can return to normal activities in two weeks.
If the fibroids are inside the uterus, a doctor can insert instruments through the cervix to remove the fibroids. This procedure is outpatient and is performed without any incisions. Patients can return to normal activity in 48 hours.
The abdominal approach to myomectomy surgery requires a six to eight inch incision (cut) in the lower stomach to remove the fibroids. Patients may stay two to three nights in the hospital. They can return to normal activities in six weeks.