Myomectomy

Effective Surgery for Fibroid Removal and Symptom Relief

A Myomectomy is a surgical procedure designed to remove fibroids from the uterus. Fibroids are non-cancerous growths that can lead to uncomfortable symptoms such as heavy periods, pelvic pain, or pressure in the abdomen.

During a Myomectomy, the surgeon carefully excises the fibroids while preserving the remaining healthy tissue of the uterus. This approach is often preferred by women who wish to alleviate their symptoms while still maintaining the option to have children in the future.

Recovery from a Myomectomy may involve some downtime, but many women experience significant improvements in their quality of life following the surgery. By reducing or eliminating symptoms caused by fibroids, patients often find relief and regain their overall well-being.

If you're dealing with the challenges of fibroids and seeking a solution, a Myomectomy may be the right choice to help you achieve symptom relief and improve your quality of life.

Who is a Candidate?

Women with symptomatic uterine fibroids (leiomyomas) who wish to preserve their uterus and fertility.

Common indications:

• Heavy menstrual bleeding causing anaemia
• Pelvic pain or pressure
• Infertility or recurrent miscarriage attributed to fibroids
• Rapidly enlarging fibroids.

Suitable for women not wanting a hysterectomy.

Recovery Timeline

This is likely to vary with provider.

• Hospital stay: Depends on approach:
  
  • Open abdominal myomectomy: 3–5 days
  • Laparoscopic or robotic myomectomy: 1–2 days
• Hysteroscopic myomectomy (for submucosal fibroids): same-day discharge
• Early recovery: Walking within 1–2 days (longer for open surgery)
• Return to light activities:
  • 2–4 weeks (laparoscopic)
  • 4–6 weeks (open)
• Full recovery: 6–8 weeks for open, 2–4 weeks for minimally invasive.

Benefits

• ​​Preserves the uterus → option for future pregnancy
• Relieves symptoms (bleeding, pain, bulk)
• Improves fertility outcomes in some women
• Can be tailored to fibroid size, number, and location.

Risks

• Bleeding, infection, blood clots
• Adhesion (scar tissue) formation, which can affect fertility
• Uterine rupture risk in future pregnancy (particularly after deep intramural fibroid removal)
• Risk of recurrence → fibroids may regrow.

This is just an outline. Your specialist gynaecological surgeon will be able to talk to you about these issues in more detail and make sure that there is informed consent.

Myomectomy is the preferred surgery for women with fibroids who wish to preserve fertility, but it carries a risk of recurrence and may require repeat procedures in the future.