Myomectomy - Oakdale ObGyn
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Myomectomy, pronounced “my-o-MEK-to-me”, is a surgical procedure to remove fibroids from your uterus. Uterine fibroids are non-cancerous growths that are common to women in their child bearing years.

This surgery is usually recommended for women who experience symptoms that include:

  • heavy periods, or abnormal bleeding
  • pelvic pain, or
  • who are having problems getting pregnant.

The goal is to remove the fibroids while keeping the uterus intact. Depending on the location, size and number of fibroids, your gynecologic surgeon will choose one of three surgical approaches, noted in the tabs below.

In this approach, incisions are made around your natural bikini line or from your belly button to your public bone. This approach gives your surgeon best access to your pelvic cavity and eases fibroid removal.

Abdominal myomectomies are usually recommended for women who have several, larger fibroids. Typical recovery is about 4 to 6 weeks.

In this minimally invasive approach, several tiny abdominal incisions are used to remove fibroids. Using a laparoscope, “a thin, lighted, telescope-like device,” your surgeon will cut the fibroid(s) into smaller pieces and remove them through these incisions.

This surgery may also be performed using robotics, in which the surgeon uses similar small incisions but controls surgical instruments from a nearby console.

Laparoscopic myomectomies are usually recommended for women who have fewer, smaller fibroids, or whose fibroids are not deeply imbedded in the uterine wall. Typical recovery time is 2 to 3 weeks.

In this approach, a hysteroscope, “a thin, lighted, telescope-like instrument” is inserted through your vagina and cervix that allows your surgeon to better see the fibroids. A resectoscope, a hysteroscope with a wire loop at the end, is then used to remove fibroids using electricity or mechanical action.

This approach is usually recommended for women whose fibroids are smaller and closer to the cavity of the uterus instead of imbedded in the muscle wall. Typical recovery time is usually 1 week.

Abdominal Myomectomy

In this approach, incisions are made around your natural bikini line or from your belly button to your public bone. This approach gives your surgeon best access to your pelvic cavity and eases fibroid removal.

Abdominal myomectomies are usually recommended for women who have several, larger fibroids. Typical recovery is about 4 to 6 weeks.

Laparoscopic Myomectomy

In this minimally invasive approach, several tiny abdominal incisions are used to remove fibroids. Using a laparoscope, “a thin, lighted, telescope-like device,” your surgeon will cut the fibroid(s) into smaller pieces and remove them through these incisions.

This surgery may also be performed using robotics, in which the surgeon uses similar small incisions but controls surgical instruments from a nearby console.

Laparoscopic myomectomies are usually recommended for women who have fewer, smaller fibroids, or whose fibroids are not deeply imbedded in the uterine wall. Typical recovery time is 2 to 3 weeks.

Hysterscopic Myomectomy

In this approach, a hysteroscope, “a thin, lighted, telescope-like instrument” is inserted through your vagina and cervix that allows your surgeon to better see the fibroids. A resectoscope, a hysteroscope with a wire loop at the end, is then used to remove fibroids using electricity or mechanical action.

This approach is usually recommended for women whose fibroids are smaller and closer to the cavity of the uterus instead of imbedded in the muscle wall. Typical recovery time is usually 1 week.

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