Everything You Should Know About Myomectomy Surgery

Introduction

Uterine fibroids are an atypical problem for women who are in their reproductive years. While some fibroids are small and harmless, some can increase in size, causing uncomfortable bleeding or even issues with fertility. If non-invasive treatments and medications do not work surgical intervention is the next best option. Surgery for myomectomy is a specific procedure that aims to eliminate fibroids and preserving the uterus, making it the best option for women who wish to have a baby.

On this page, we’ll discuss what myomectomy is and why it’s performed to begin with, how it’s done as well as the risk involved as well as the reason for needing the procedure and the way it’s detected with a clear and easy terms.

The Introduction Myomectomy Surgery

Uterine fibroids, also referred to as leiomyomas are benign tumors that grow within the muscle wall that surrounds the uterus. These tumors can vary in terms of size, number and the site of their development. Many women are not aware of their fibroids, particularly if they are small and not symptomatic. For some, fibroids trigger large women menstrual flow, pelvic discomfort frequent urination, constipation and infertility.

Myomectomy is an operation that eliminates fibroids, while leaving the uterus unharmed. This is different from the procedure known as hysterectomy which involves the uterus is removed completely. Myomectomy is usually the procedure that women prefer for pregnant age who wish to get relief from fibroid-related issues but are still hoping to become pregnant.

What does it mean? Myomectomy

Myomectomy literally refers to the removal surgically of muscle tumors. In this case, fibroids from the uterus..

The main goal for this surgery is alleviate fibroid-related symptoms while protecting the uterus particularly for women who plan to become pregnant in the near future. Based on the quantity of, the size, and the site of fibroids, a variety of methods are employed to carry out this procedure.

The reasons of Myomectomy Surgery

Doctors recommend myomectomy if fibroids cause severe symptoms or affect your health or life. The most common reasons are:

1. Menstrual Bleeding or Heavy Bleeding :- The loss of blood too often can cause fatigue and anemia. Fibroids are known to expand the uterine lining making it more difficult for blood to flow during periods.

2. Pelvic Pain and Pressure :- Large fibroids can press on organs of the pelvis, which can cause discomfort and cramping. It can also cause an uncomfortable feeling of fullness within the abdomen.

3. Trouble with frequent urination or Eliminating the Bladder :- Fibroids pushing against the bladder may increase frequency or urgency, which can disrupt the quality of sleep and everyday life.

4. Constipation :- When fibroids press against the rectal area of the body, they could cause bowel movements to be slower or create a sensation of a lack of evacuation.

5. Fertility, or Recurrent miscarriages :- Fibroids that alter the form of the uterus, or stop the fallopian tube from functioning can cause difficulty in conception and pregnancy.

6. Rapid Fibroid Growth :- If fibroids are growing rapidly doctors might conduct further investigations to rule out uncommon but serious issues such as uterine sarcoma.

Diagnostics of Uterine Fibroids (Before Myomectomy)

Before you decide to undergo a myomectomy Your doctor will perform various tests to verify the presence, size and position of fibroids:

1. Pelvic Exam :- An examination of the uterus can detect irregularities in the shape or size, which could be indicative of fibroids.

2. Ultrasound (Abdominal or Transvaginal) :- Ultrasound makes use of sound waves to produce pictures of the uterus as well as fibroids, verifying their presence and size.

3. The MRI (Magnetic Resonance Imaging) :- MRI offers more precise images. It is particularly useful in cases of complex nature or when there is a suspicion of multiple fibroids.

4. Hysteroscopy :- A lighted, thin scope is introduced through in the vagina and into the uterus in order to look at fibroids that protrude from the uterine cavity.

5. Sonohysterography :- A specific ultrasound procedure that uses salinity to expand the uterine cavity and allow better visualization of fibroids.

This is the Myomectomy Surgery Procedure – Step-by-Step

There are many types of myomectomy surgeries and your physician will pick the best option based on the size, number and the location of your fibroids.

1. Abdominal Myomectomy (Open Surgery) :- It involves cutting a surgical area in your lower abdominal region (similar to the C-section). This procedure is recommended for large and multiple fibroids.

• In the presence of general anesthesia the surgeon creates an incision into an abdominal cavity and the uterus. The fibroids are then removed and the uterus is then stitched to the back.

• The Recovery Period 4 – 6 weeks

2. Laparoscopic Myomectomy (Minimally Invasive) :- A less invasive method that uses small cuts, a camera (laparoscope) and instruments.

•  The procedure involves making a few tiny cuts are made. The fibroids are removed with special tools, and then split into smaller pieces to facilitate removal.

• The Recovery Period The duration is 2-4 weeks

3. Hysteroscopic Myomectomy (No Incisions) :- Ideal for fibroids that protrude into urinary cavity.

• The hysteroscope can be placed through the vagina and the cervix in order to reach and remove fibroids, without making cuts to the skin.

• Recover Time Time 1-2 weeks

4. Robotic-Assisted Myomectomy :- Robotic arms are used to provide greater accuracy in the removal of fibroids using tiny cuts.

• Similar to laparoscopy with improved management and imaging in 3D to ensure better results in complicated cases.

• The Recovery Period 2 to 3 weeks

Risk Factors and Complications Myomectomy

As with all surgical procedures myomectomy is not without risk. Although serious complications are not common but it’s crucial to be aware of the potential risks:

1. Excessive Bleeding :- The removal of fibroids, especially massive ones, could result in substantial blood loss. In some cases the need for a blood transfusion could be necessary.

2. Infection :- Post-operative infections may occur near the site of the incision or in the uterus, usually treated with antibiotics.

3. Adhesions as well Scar Tissue :- Scar tissue can develop within the uterus or around organs, which can affect fertility or creating pain.

4. Uterine rupture in the Future Pregnancy :- A weak wall of the uterus (especially after removal of a deep fibroid) could tear during labour C-section delivery is usually recommended following myomectomy.

5. Fibroid Recurrence :- Myomectomy eliminates fibroids already in place however, new fibroids can grow over time, particularly for women who are younger.

Recovery Following Myomectomy Surgery

The speed of recovery varies based on the kind of surgery that was performed.

• Rest :- Rest and moderate activity are recommended for the first week.

• Treatment of Pain :- The use of painkillers is used to reduce post-operative pain.

• Avoid heavy lifting :- Physical exertion must be avoided for at most about 4-6 weeks.

• Monitoring Signs :- Look for indicators of infection or signs of complications like fever, excessive bleeding, or extreme pain.

• Follow-up visits :- Regular checks help to ensure that the uterus is healing in a proper way.

Emotional and the benefits of myomectomy for fertility

For a lot of women, having a myomectomy is not just about physical relief, but also emotional peace. The uterus is a place for maintaining fertility while avoiding hormonal changes that come with the hysterectomy.

• Improved Menstrual Flow

• Pain Reduction

• Better Bowel Function and Bladder

• Greater Risks for Pregnancy

• Improved Body Image and Confidence

Conclusion

Myomectomy surgical procedure is an effective solution for women who suffer from symptoms of fibroids in the uterus. It removes fibroids while maintaining fertility, improving quality of life, and relieving discomfort. Every surgery has certain risks The success rate of myomectomy is very high when done by a gynecologic specialist who is experienced.

If you’re suffering from fibroid related symptoms and are seeking an option for uterus-sparing, you should consult your gynecologist for advice on whether myomectomy is the right choice for you.