Myomectomy Surgery

Uterine fibroids, also known as myomas or leiomyomas, are non-cancerous growths in the uterus that can cause heavy menstrual bleeding, pelvic pain, and fertility issues. Myomectomy surgery is a procedure to remove these fibroids while preserving the uterus. For expert care and advanced treatment options, consult the top gynaecologists at CK Birla Hospital.

What is Myomectomy Surgery?What is Myomectomy Surgery?

Myomectomy is a widely used and highly effective surgical procedure which is performed to remove uterine fibroids. It is the preferred treatment for women who wish to retain their uterus and maintain fertility. Unlike hysterectomy, which involves the removal of the entire uterus, myomectomy focuses on excising only the fibroids, allowing for future pregnancies.

Myomectomy Surgery Myomectomy Surgery

Types of Uterine Fibroids

Intramural Fibroids: Develop within the muscular wall of the uterus, often causing heavy menstrual bleeding and pelvic pain.
Subserosal Fibroids: This type of fibroid grows on the outer surface of the uterus. As it grows it potentially puts pressure on adjacent organs and results in sometimes excruciating pain.
Submucosal Fibroids: Develop just beneath the lining of the uterine cavity, leading to heavy and prolonged menstrual bleeding.
Pedunculated Fibroids: Attached to the uterus by a stalk, these can cause pain if the stalk twists.
Degenerating Fibroids: A fibroid turns degenerate when it outgrows its blood supply, causing severe pain and sometimes fever.

Types of Myomectomy Surgeries

Hysteroscopic Myomectomy: This is a minimally invasive procedure where fibroids are removed using a hysteroscope from the vaginal area and the cervix .
Laparoscopic Myomectomy: Minimally invasive surgery involving small incisions in the abdomen through which fibroids are removed with the help of a laparoscope.
Abdominal Myomectomy: An open surgical procedure where an incision is made in the abdomen to remove large or multiple fibroids.
Robotic Myomectomy: A highly precise myomectomy performed using state-of-the-art robotic assisted equipment.

Complications associated with untreated Uterine Fibroids?

Heavy Menstrual Bleeding: Can lead to anaemia and fatigue.
Pelvic Pain: Persistent pain and discomfort affecting daily activities.
Fertility Problems: Fibroids often tend to interfere with normal uterine functions such as conception and pregnancy.
Bladder and Bowel Issues: Pressure on adjacent organs causing urinary and gastrointestinal symptoms.
Pregnancy Complications: Increased risk of miscarriage, preterm birth, and complications during labour.

Preventive Measures Against Uterine Fibroids

Regular Medical Check-Ups: Early detection and management of fibroids.
Healthy Diet: Maintain a balanced diet rich in fruits, vegetables, and whole grains.
Weight Management: Keeping a healthy weight can help reduce the risk of fibroids.
Exercise: Regular physical activity to maintain overall health.
Monitor Symptoms: Keep track of menstrual irregularities and pelvic pain.

Minimally invasive vs. open surgery benefits

Aspect	Minimally Invasive Surgery	Traditional Open Surgery
Incisions	Smaller incisions	Larger incisions
Recovery Time	Shorter recovery period	Longer recovery period
Pain and Scarring	Less pain and minimal scarring	More pain and noticeable scarring
Hospital Stay	Shorter hospital stay	Longer hospital stay
Infection Risk	Reduced risk of infection	Higher risk of infection

Top specialist for myomectomy surgeryTop specialist for myomectomy surgery

Diagnosis of Uterine Fibroids

For accurate detection of uterine fibroids, a thorough medical examination by a gynaecologist is essential. The doctor will review your medical history and may recommend the following tests:

Pelvic Ultrasound: To visualise the fibroids and assess their size and location.
MRI (Magnetic Resonance Imaging): For detailed imaging of the pelvic organs.
Hysteroscopy: Allows direct visualisation of the uterine cavity and fibroids.

Pre-Treatment/Surgery Instructions

Follow the doctor’s instructions for medication.
Avoid consumption of alcohol and tobacco.
Do not eat or drink anything for at least 8 hours before surgery.
Arrange for someone to drive you home post-surgery.

Post-Surgery Instructions

The patient will be observed for a few hours post-surgery.
Hospital discharge typically occurs on the same day or the next day, depending on the surgery type and recovery progress.
Follow-up appointments will be scheduled to monitor recovery.
Avoid strenuous activities and follow a balanced diet to aid recovery.

Recovery After Myomectomy Surgery

Recovery time depends on the type of surgery performed. Generally, patients can expect:

Initial recovery within 1-2 weeks for minimally invasive surgery.
Full recovery and return to normal activities within 4-6 weeks.
Improvement in symptoms and overall quality of life after the initial recovery phase.

FAQs about Myomectomy Surgery FAQs about Myomectomy Surgery

Average Cost of a Myomectomy Surgery

Cost of Myomectomy Surgery treatment in Gurgaon range between Rs 40,000 to Rs 200,000. However, it may vary depending on various factors, such as the surgeon’s experience, location, length of the treatment, and the hospital’s price structure.

How long does Recovery take after Myomectomy Surgery?

Recovery time varies based on the type of surgery. Minimally invasive procedures like hysteroscopic and laparoscopic myomectomy typically require 1-2 weeks for initial recovery, while open surgery may take 4-6 weeks.

Can Uterine Fibroids Recur after Myomectomy?

Yes, uterine fibroids can recur even after myomectomy. Long-term management and regular monitoring are necessary to reduce the risk of recurrence.

Are there Non-Surgical treatments for Uterine Fibroids?

Yes, non-surgical treatments include medication, hormone therapy, and uterine artery embolization. These treatments can manage symptoms and reduce fibroid size but may not eliminate fibroids entirely.

Is Myomectomy Surgery covered by Insurance?

Most health insurance plans cover myomectomy surgery. It is important to check with your insurance provider for specific coverage details and any potential out-of-pocket costs.

Signs of Fibroid Degeneration or Complications

Signs include sudden, severe pelvic pain, fever, heavy bleeding, and increased urinary frequency. Seek immediate medical attention if you experience these symptoms.

Can Uterine Fibroids Affect Pregnancy?

Yes, uterine fibroids can affect fertility and pregnancy. They can interfere with conception, increase the risk of miscarriage, and cause complications during labour. Myomectomy can improve fertility outcomes.

For expert diagnosis and treatment of uterine fibroids, including myomectomy surgery, trust the experienced gynaecologists at CK Birla Hospital in Gurgaon. Contact us to schedule a consultation and explore your treatment options.