This surgery involves removing
from the wall of the uterus (womb). Fibroids are noncancerous tumors in the muscle of the uterus.
Copyright © Nucleus Medical Media, Inc.
Myomectomy is done to relieve problems caused by fibroids without doing a
(removal of the uterus). These problems can include:
Pelvic painBack painPressure on the bladderAbnormal vaginal bleedingDifficulty becoming pregnantDiscomfort during sexual intercourse
The symptoms caused by fibroids are often successfully controlled with this procedure. This may include a return to a normal menstrual cycle and the ability to become pregnant.
Complications are rare, but no procedure is completely free of risk. If you are planning to have a myomectomy, your doctor will review a list of possible complications, which may include: BleedingSurgical wound infectionRecurrence of fibroidsDamage to other organsWall of the uterus may be weakened if a large fibroid is removedReactions to anesthesia
Need for special precautions in pregnancy, such as the need to deliver by
cesarean sectionPelvic adhesions that can cause pain and/or bowel blockageProblems found during surgery that make removal of the uterus necessary
Severe scarring, resulting in
Factors that may increase the risk of complications include: SmokingAlcohol abuse
drug useObesityChronic or recent illnessUse of certain prescription medicationsDiabetes
Be sure to discuss these risks with your doctor before the procedure.
Your doctor may do the following: Physical examBlood testsReview your medicationsDilation and curettage (D&C)
—a procedure to remove tissue from the lining of the uterus (endometrium)
Ultrasound—shows images of pelvic organsIntravenous pyelogram
—x-rays taken of the kidneys, ureters, and bladder after a contrast medium is injected into a peripheral vein (done if the fibroids are affecting the ureters)
You should discuss with your doctor: Whether you should have hormone treatment for 2-4 months before the procedure—This treatment shrinks fibroids. It makes them small and reduces the risk of excess blood loss during the procedure.If cancer is found in the uterus—One option is to remove the uterus during the myomectomy.Whether you should donate your own blood for the procedure
Leading up to your procedure: Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.Arrange for a ride home from the hospital. Also, arrange for help at home.Do not eat or drink for at least eight hours before the procedure.
is used most often. It will block any pain and keep you asleep through the surgery. It is given through an IV in your hand or arm.
An incision will be made in the lower abdomen. Muscles will be separated, and tissue will be cut to expose the uterus. Next, the fibroids will be removed. In some cases, you will be given a medication to reduce the amount of blood loss.
After removing the fibroids, the each layer of tissue in the uterus will be stitched. This will prevent blood clots, excess bleeding, and infection. Lastly, the stitches will be used to close the incision area.
After the procedure, you will be: Taken to the postoperative areaWatched for complicationsGiven IV fluids and medications
You will have abdominal pain and discomfort for 7-10 days. You will be given medication to help control the pain.
Full recovery will take about 4-6 weeks. When you return home, do the following to help ensure a smooth recovery: Wear sanitary pads or napkins to absorb blood. The first menstruation after the procedure may be heavier than normal.Be sure to follow your doctor's
After you leave the hospital, contact your doctor if any of the following occur: Signs of infection, including fever and chillsRedness, swelling, increasing pain, excessive bleeding, or discharge from the incision siteExcessive vaginal bleeding (soaking more than one pad per hour) after the procedureExcessive vaginal discharge that continues beyond one month after the procedureVaginal discharge has a foul odorSevere abdominal painHeadaches, muscle aches,
lightheadedness, or general ill feelingNausea and
vomitingConstipationPain and/or swelling in one or both legsFibroid symptoms return after the procedureCough
, shortness of breath, or chest pain
Pain, burning, urgency or frequency of urination, or persistent blood in the urineNew, unexplained symptoms
If you think you have an emergency, call for emergency medical services right away.
Uterine fibroid symptoms, diagnosis, and treatment. Society of Cardiovascular and Interventional Radiology website. Available at:
Accessed October 29, 2014.
6/2/2011 DynaMed's Systematic Literature Surveillance
: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis.
Am J Med.
Last reviewed December 2014 by Andrea Chisholm, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © EBSCO Publishing. All rights reserved.