Myomectomy refers to a surgical procedure for removing leiomyomas (uterine fibroids), which are non-cancerous growths that appears in the uterus. Generally, these tend to occur during the childbearing years, but it is possible for them to occur at any age.
In the process of myomectomy, the doctor will take out the fibroids and try to reconstruct the uterus. Unlike hysterectomy, this process removes only the fibroids, keeping the uterus intact. It is the preferred fibroid treatment in case of women who wish to get pregnant. It can also relieve symptoms related to fibroids, such as heavy bleeding during menstruation and pelvic pressure.
A patient may have to undergo myomectomy in the following circumstances:
The following pre-procedure guidelines need to be followed before undergoing a myomectomy:
Depending on the number, location and size of the fibroids, any of the following ways of myomectomy may be approached by the surgeon:
You may only have to stay overnight at the hospital and then get discharged after undergoing a myomectomy. You will be given oral medications for relieving you from the pain. Consult with your doctor if you experience any side effects of the medication. Also, follow the restrictions that are suggested by the doctor regarding your diet and activities. It is normal to experience vaginal staining or spotting, ranging from a few days to a few weeks, depending on the procedure that you have undergone. The pain medicines may make you feel drowsy or dizzy, so be careful when you are getting up from a sitting or sleeping position.
Undergoing a myomectomy may have the following complications:
You may have to undergo a pelvic exam and ultrasound after the surgery so that the doctor can examine the status of your condition. Removing the submucosal fibroids improves your chances of fertility and pregnancy. Wait for 3 months after undergoing myomectomy before trying for conception, so that the uterus gets adequate time for healing. You may do simple leg movements and stretches to prevent the formation of blood clots, but ensure that you do not do any intense cardiovascular exercises unless you have the approval of your doctor. After a period of 4-6 weeks, you can resume your exercise routine. Make sure to keep an eye in the area of incision, any type of redness or drainage must be reported to the doctor at once.
The price of myomectomy could be approximately Rs. 2,00,000 – Rs. 3,00,000.