Myomectomy (Fibroid Removal)

What is a myomectomy (fibroid removal)?

myomectomy

Myomectomy, also called fibroidectomy, is a surgical procedure to remove a fibroid or fibrous growth from the uterus. The procedure aims to remove only the fibroid, leaving the uterus in place.

It is typically carried out through abdominal surgery or laparoscopic surgery.

Why do you need a myomectomy?

Your doctor may recommend a myomectomy to preserve your fertility if you have:

  • A fibroid that causes pain or bleeding
  • Problems with childbearing

Your gynaecologist may recommend a myomectomy instead of a hysterectomy if:

  • You plan to have children in the future
  • Your fertility is affected by the uterine fibroid
  • You want to retain your uterus

What are the risks and complications of myomectomy?

Myomectomy is a safe procedure, with low risk of complications. However, like any other surgery, it carries a small risk.

Complications can include:

  • Bleeding
  • Damage to nearby organs
  • Infection
  • Perforation of the uterus
  • Reoccurrence of new fibroids after surgery, especially in younger women. The nearer you are to menopause, the less likely the fibroids will recur.
  • Scar tissue
  • Weakening of the uterus and the possibility of a rupture.

Note: You may need a caesarean section for your next pregnancy. Let your gynaecologist know that you have had a prior myomectomy so that your pregnancy can be managed safely.

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